ATI Practice Questions Exam 1 Med Surge

A nurse is providing teaching to a client with a new diagnosis of heart failure who has a prescription for furosemide. Which of the following statements should the nurse include in the teaching? a. "You can take ibuprofen for headaches while taking this medication" b. "You may experience increased swelling in your lower extremities while taking this medication" c. "You should eat foods that are high in potassium while taking this medication" d. "You should take this medication at bedtime"

c. "You should eat foods that are high in potassium while taking this medication"

A nurse is caring for a client who requires a peripheral IV insertion. When choosing the site, which of the following sites should the nurse select? a. Select a vein in the client's dominant arm b. Choose the most proximal vein in the extremity c. Choose a vein that is soft in palpation d. Select a site distal to previous venipuncture attempts

c. Choose a vein that is soft in palpation

A nurse in a clinic is assessing the lower extremities and ankles of a client who has a history of peripheral arterial disease. Which of the following findings should the nurse expect? a. Pitting edema b. Areas of reddish-brown pigmentation c. Dry, pale skin with minimal body hair d. Sunburned appearance with desquamation

c. Dry, pale skin with minimal body hair

A nurse is caring for a client who is receiving a fluid infusion through a peripheral IV catheter. The nurse notes that the area of the arm immediately surrounding the insertion site is red and feels warm. Which of the following actions should the nurse take? a. Change the infusion tubing b. Flush the IV catheter c. Remove the IV catheter d. Apply a cool compress to the site

c. Remove the IV catheter

A nurse is preparing an in-service presentation about assessing clients who are having an acute myocardial infarction (MI). What is the most common assessment finding with acute MI? a. Dyspnea b. Pain in shoulder and left arm c. Substernal chest pain d. Palpitations

c. Substernal chest pain

A nurse is assessing a client who is 85 years old. Which of the following findings should the nurse identify as a manifestation of myocardial infarction? a. Sudden hemoptysis b. Acute diarrhea c. Frontal headache d. Acute confusion

d. Acute confusion

A nurse is caring for a client who has peripheral vascular disease (PVD) and ulcers on the toes. Which of the following findings of PVD is a risk factor for ulceration of the extremities? a. Insufficient skin care b. Dehydration c. Immobility d. Impaired circulation

d. Impaired circulation

A nurse is reviewing the laboratory values of a client who has a positive Chvostek's sign. Which of the following laboratory findings should the nurse expect? a. Decreased calcium b. Decreased potassium c. Increased potassium d. Increased calcium

a. Decreased calcium

A nurse is assessing a client who has fluid volume overload from a cardiovascular disease. Which of the following manifestations should the nurse expect? (Select all that apply) a. Jugular vein distention b. Moist crackles c. Postural hypotension d. Increased heart rate

a. Jugular vein distention b. Moist crackles d. Increased heart rate

A nurse is caring for an older adult client who had an acute myocardial infarction (MI). When assessing this client, the nurse should identify that older adults are prone to complications of MI from poor tissue perfusion because of which of the following age-related factors? a. Peripheral vascular resistance b. The sensitivity of blood pressure-adjusting baroreceptors increases c. Blood is hypercoagulable and clots more quickly d. Cardiac medications are less effective

a. Peripheral vascular resistance

A nurse is caring for a client who has peripheral edema. The nurse should identify that which of the following nutrients regulates extracellular fluid volume? a. Sodium b. Calcium c. Potassium d. Magnesium

a. Sodium

A nurse is caring for a client who is receiving IV therapy via a peripheral catheter. The nurse should identify that which of the following findings is an indication of infiltration? a. Redness at the infusion site b. Edema at the infusion site c. Warmth at the infusion site d. Oozing of blood at the infusion site

b. Edema at the infusion site

A nurse completing an assessment on a client. Which of the following findings should the nurse identify as a risk factor for coronary artery disease? (Select all that apply) a. Hypothyroidism b. Hypertension c. Diabetes Mellitus d. Hyperlipidemia e. Tobacco Smoking

b. Hypertension c. Diabetes Mellitus d. Hyperlipidemia e. Tobacco Smoking

A nurse is assessing an older adult client for cardiovascular changes that develop with aging. Which of the following findings should the nurse expect? a. Increased peripheral circulation b. Thickening of blood vessel walls c. Decreased pulmonary vascular resistance d. Increased cardiac output

b. Thickening of blood vessel walls