ATI Practice Questions 1

A nurse in the emergency department is caring for a client who is experiencing manifestations of a myocardial infarction (MI). Which of the following laboratory tests should the nurse expect the provider to prescribe?

-troponin I

A nurse is reviewing the laboratory values of a client who had an infarction 3 hrs ago. The nurse should expect which of the following laboratory values to be elevated?

-troponin I

A nurse is providing teaching about a heart healthy diet to a group of clients with hypertension. Which of the following statements by one of the clients indicates a need for further teaching? A. "I may eat 10 ounces of lean protein each day." B. "Fresh fruits make a good snack option." C. "I will replace table salt with dried herbs." D. "I may thicken gravies with cornstarch as I cook."

"I may eat 10 ounces of lean protein each day." Lean meats should be limited to 5 to 6 oz per day. This statement by a client requires additional teaching.

A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification?

-0.9% normal saline IV at 50mL/hr continuous

A nurse caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report the client asks what this blood test will show. Which of the following explanations should the nurse provide the client?

-troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart

A nurse in the emergency room is caring for a client who presents with manifestations that a myocardial infarction. Which of the following prescriptions should the nurse take first?

-initiate oxygen therapy

A client is teaching a client who has a new prescription for hydrochlorothiazide for management of hypertension. Which of the following instructions should the nurse include?

-monitor for leg cramp

A nurse an emergency department is planning care for a client who is having an acute myocardial infarction (). The nurse should planta administer which of the following medications after the initial acute phase to manage the client's pain and anxiety?

-morphine

A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?

-obstructive sleep apnea (OSA)

A nurse caring for a client who has hypertension and has a potassium level of 6.8mEq /L. Which of the following actions should the nurse taken?

-obtain a 12-lead ECG

A nurse is monitoring an older adult female client who had a myocardial Infarction (MI) for the development of an acute kidney Injury Which of the following findings should the nurse identify as indicating an increased risk of acute kidney injury (AKI)?

-serum creatinine 1.8 mg/dL

A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following findings a priority to report?

-swelling of the tongue

A nurse is reviewing the medical record of a client who has hypertension and a new prescription for metoprolol. Which of the following findings should the nurse investigate further?

-a history of left sided heart failure

A nurse teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching?

-apply the transdermal patch in the morning

A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine the is experiencing a myocardial infarction?

-perform a 12-lead ECG

A is providing instructions to a client who has a new prescription for sublingual nitroglycerin (Nitrostat) to treat angina pectoris. Which of the following instructions should the nurse include?

-place the tablet under your tongue, and then take a small sip of water

A nurse is teaching a client who has angina about nitroglycerin sublingual tablets. Which of the following statements should the nurse include in the teaching?

-nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart

A nurse reviewing the serum laboratory findings for a client who has hypertension and prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider?

-potassium 2.3 mEq/L

A nurse providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 124/84 mm Hg places him in which of the following categories?

-prehypertension

A nurse teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?

-take one tablet at the first indication of chest pain

A nurse providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide?

-take the medication early in the day

A nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40 mg twice daily Which of the following findings in the history should the nurse report to the provider?

-the client has a history of bronchial asthma

A nurse establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include?

-the client will walk for 30 min 5 days a week

A nurse teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies?

-these tests help determine the degree of damage to the heart tissues

A nurse in a provider's clinic is assessing a client who takes sublingual nitroglycerin for stable angina. The client reports getting a headache each time he takes the medication. Which of the following statements should the nurse make?

-try taking a mild analgesic to relieve the headache

A nurse caring for a client who has a new diagnosis of essential hypertension. The nurse should monitor the client for which of the following findings that is consistent with this diagnosis?

-vertigo

A nurse providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide Which of the following statements by the client indicates an understanding of the teaching?

-with the new medication, I should experience fewer side effects

A nurse caring for a client who has hypertension and is afraid to take his blood pressure medication. Which of the following nursing statements is an example of the therapeutic communication response of reflection?

-you seem upset about taking your blood pressure medication

A nurse is providing teaching for client who has a new diagnosis of angina pectoris. The nurse should give the client which of the following Information about anginal pain?

-exertion and anxiety can trigger the pain

A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Which of the following beverages should the nurse tell the client to avoid while taking this medication?

-grapefruit juice

A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching?

-I will dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5 minutes apart while waiting

A nurse is providing teaching about the Mediterranean diet to a client who has a new diagnosis of hypertension. Which of the following statements by the client indicates a need for further teaching?

-I will limit my intake of red meat to twice weekly

A nurse is providing discharge teaching to a client who has a new prescription for verapamil for angina. Which of the following Instructions should the nurse include?

-Increase your daily intake of dietary fiber.

A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI? (Select all that apply.)

-Nausea -Tachycardia -Diaphoresis

A nurse is providing teaching to a client who has stable angina and a new prescription for nitroglycerin oral, sustained-release capsules. Which of the following instructions should the nurse include?

-Swallow the capsules whole

A nurse in an emergency department caring for a client who reports substernal chest pain and dyspnea. The client is vomiting and is diaphoretic. Which of the following laboratory tests are used to diagnose a myocardial infarction? (Select all that apply.)

-Troponin I -Troponin T -CPK -Myoglobin

A nurse on a telemetry unit is caring for a client who has unstable angina and is reporting chest pain with a severity of 6 on a 0 to 10 scale. The nurse administers 1 sublingual nitroglycerin tablet. After 5 min the states that his chest pain is now a severity of 2. Which of the following actions should the nurse take?

-administer another nitroglycerin tablet

A nurse in an emergency department is preparing to administer alteplase accelerated therapy to a client who is having a myocardial infarction. Which of the following actions should the nurse plan to take? (Select all that apply)

-administer the med within 30 minutes of the client's arrival to the department -reconstitute the med with sterile water -administer a 15mg IV bolus -asses the client for back pain

A client has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin given due to which of the following actions of the medication?

-antiplatelet aggregate

A nurse caring for a client who has hypertension develops epistaxis. Which of the following actions the nurse take? (Select all that apply.)

-apply pressure to the nares -place ice to the bridge of the client's nose -move the client into high-Fowler's position

A nurse providing teaching to a client who has stable angina and a new prescription for transdermal nitroglycerin. Which of the following Instructions should the nurse include? (Select all that apply.)

-apply the patch to a hairless area and rotate sites -apply a new patch each morning -remove the patch for 10 to 12 hr daily

A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?

-asthma

A nurse teaching a client who has hypertension and a new prescription for atenolol. Which of the following findings should the nurse include as adverse effects of this medication?

-bradycardia

A nurse in a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3mEq/L. The nurse should monitor the client for which of the following complications?

-cardiac dysrhythmias

A nurse is caring for a client who has had a myocardial Infarction. Upon his first visit to cardiac rehabilitation, he tells the nurse that he doesn't understand why he needs to be there because there nothing more to do, as the damage done. Which of the following is the correct nursing response?

-cardiac rehabilitation cannot undo the damage to your heart but it can help you get back to your previous level of activity safely

A nurse teaching a middle-aged client about hypertension. Which of the following information should the nurse include in the teaching?

-diuretics are the first type of medication to control hypertension

A nurse is providing teaching to a client who has hypertension and a new prescription for captopril. Which of the following instructions should the nurse provide?

-do not use salt substitutes while taking this medication

A nurse caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood?

-elevated BUN