1
INTERMEDIATE MED SURG ATI
1. Nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion
site. Which of the following pulses should the nurse palpate?
a. Radial pulse in R arm
b. Brachial pulse in R arm
c. Radial pulse in L arm
d. Brachial pulse in L arm
2. Nurse caring for client who has atrial fibrillation and receives Digoxin daily. Before
administering this medication, which of the following actions should the nurse take?
a. Weigh client
b. Offer client a light snack
c. Measure client’s apical pulse
d. Measure client’s blood pressure
3. Nurse caring for client 4 hours following cardiac catheterization. Which of the following
actions should nurse take?
a. Keep affecte leg slightly flexed
b. Have client lie flat in bed
c. Keep client NPO for 4 hours
d. Elevate head of bed 45 degrees
4. Nurse is caring for client who just had a cardiac catheterization. Which of the following
nursing interventions should nurse include in client’s plan of care? (SELECT ALL)
a. Keep client’s hip & leg extended
b. Check peripheral pulses in affected extremity
c. Measure client’s vital signs every 4 hours → should be frequent (every 15 minutes)
d. Place client in high-fowler’s position → should be flat in bed
e. Have client remain in bed up to 4 hours
5. Nurse is providing teaching for client who has new diagnosis of angina pectoris. The nurse
should give the client which of the following information about anginal pain?
a. Exertion & anxiety can trigger the pain
b. The pain persists with rest & organic nitrates
c. The pain often radiates to jaw or back
d. Pain usually lasts longer than 20 minutes
6. Nurse is assessing a client who has atrial fibrillation. Which of the following pulse
characteristics should nurse expect?
a. Irregular
b. Bounding
c. Not palpable
, 2
d. Slow
7. Nurse is providing teaching for client who is on diuretic therapy & has new prescription for
Potassium Chloride (KCL) 20 mEq extended release PO daily. Which of the following
instructions should the nurse provide about the new prescription?
a. Take extended release tablets on empty stomach
b. Take the tablets whole
c. Expect urinary output to decrease while on medication
d. Add an antacid if medication causes indigestion
8. Nurse is caring for client who has difficulty swallowing medications and is prescribed
enteric-coated aspirin PO once daily. Client asks if medication can be crushed to make it easier
to swallow. Which response should nurse provide?
a. “Crushing would release medication all at once, rather than over time”
b. “Crushing is unsafe, it destroys the ingredients in medication”
c. “Crushing the medication might cause stomach ache or indigestion”
d. “Crushing medication is a good idea, it can mix well in ice cream”
9. Nurse is teaching client who has new prescription for aspirin to prevent cardiovascular
disease. Which instruction should nurse include in teaching?
a. Monitor for tinnitus
b. Expect stools to turn black
c. Take tablets on empty stomach
d. Anticipate tablets to smell like vinegar
10. Nurse is performing ECG on client who is experiencing chest pain. Which of the following
statements should nurse make?
a. “Test will be complete in 30-60 minutes”
b. “I will need to apply electrodes to chest & extremities”
c. “Radioactivity from dye lasts only a few hours”
d. “You might feel slight tingling while test is being done”
11. Nurse in ED is caring for client who took 3 Nitroglycerin tablets sublingual for chest pain.
Client reports relief from chest pain but now is experiencing a headache. Which statement
should nurse make?
a. “A headache indicates tolerance to medication”
b. “A headache is likely due to anxiety about chest pain”
c. “A headache is an expected adverse effect of the medication”
d. “A headache is an indication of an allergy to the medication”
12. Nurse is providing teaching for client who has hypertension & a prescription change from
Metoprolol to Metoprolol/Hydrochlorothiazide. Which of the following statements by client
indicates understanding of teaching?
INTERMEDIATE MED SURG ATI
1. Nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion
site. Which of the following pulses should the nurse palpate?
a. Radial pulse in R arm
b. Brachial pulse in R arm
c. Radial pulse in L arm
d. Brachial pulse in L arm
2. Nurse caring for client who has atrial fibrillation and receives Digoxin daily. Before
administering this medication, which of the following actions should the nurse take?
a. Weigh client
b. Offer client a light snack
c. Measure client’s apical pulse
d. Measure client’s blood pressure
3. Nurse caring for client 4 hours following cardiac catheterization. Which of the following
actions should nurse take?
a. Keep affecte leg slightly flexed
b. Have client lie flat in bed
c. Keep client NPO for 4 hours
d. Elevate head of bed 45 degrees
4. Nurse is caring for client who just had a cardiac catheterization. Which of the following
nursing interventions should nurse include in client’s plan of care? (SELECT ALL)
a. Keep client’s hip & leg extended
b. Check peripheral pulses in affected extremity
c. Measure client’s vital signs every 4 hours → should be frequent (every 15 minutes)
d. Place client in high-fowler’s position → should be flat in bed
e. Have client remain in bed up to 4 hours
5. Nurse is providing teaching for client who has new diagnosis of angina pectoris. The nurse
should give the client which of the following information about anginal pain?
a. Exertion & anxiety can trigger the pain
b. The pain persists with rest & organic nitrates
c. The pain often radiates to jaw or back
d. Pain usually lasts longer than 20 minutes
6. Nurse is assessing a client who has atrial fibrillation. Which of the following pulse
characteristics should nurse expect?
a. Irregular
b. Bounding
c. Not palpable
, 2
d. Slow
7. Nurse is providing teaching for client who is on diuretic therapy & has new prescription for
Potassium Chloride (KCL) 20 mEq extended release PO daily. Which of the following
instructions should the nurse provide about the new prescription?
a. Take extended release tablets on empty stomach
b. Take the tablets whole
c. Expect urinary output to decrease while on medication
d. Add an antacid if medication causes indigestion
8. Nurse is caring for client who has difficulty swallowing medications and is prescribed
enteric-coated aspirin PO once daily. Client asks if medication can be crushed to make it easier
to swallow. Which response should nurse provide?
a. “Crushing would release medication all at once, rather than over time”
b. “Crushing is unsafe, it destroys the ingredients in medication”
c. “Crushing the medication might cause stomach ache or indigestion”
d. “Crushing medication is a good idea, it can mix well in ice cream”
9. Nurse is teaching client who has new prescription for aspirin to prevent cardiovascular
disease. Which instruction should nurse include in teaching?
a. Monitor for tinnitus
b. Expect stools to turn black
c. Take tablets on empty stomach
d. Anticipate tablets to smell like vinegar
10. Nurse is performing ECG on client who is experiencing chest pain. Which of the following
statements should nurse make?
a. “Test will be complete in 30-60 minutes”
b. “I will need to apply electrodes to chest & extremities”
c. “Radioactivity from dye lasts only a few hours”
d. “You might feel slight tingling while test is being done”
11. Nurse in ED is caring for client who took 3 Nitroglycerin tablets sublingual for chest pain.
Client reports relief from chest pain but now is experiencing a headache. Which statement
should nurse make?
a. “A headache indicates tolerance to medication”
b. “A headache is likely due to anxiety about chest pain”
c. “A headache is an expected adverse effect of the medication”
d. “A headache is an indication of an allergy to the medication”
12. Nurse is providing teaching for client who has hypertension & a prescription change from
Metoprolol to Metoprolol/Hydrochlorothiazide. Which of the following statements by client
indicates understanding of teaching?
