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RN ATI MedSurg~46 Exam

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Title : RN ATI MedSurg~46 Exam

Type : Nursing

Category : RN Nursing Exam(s)

Subcategory : ATI Exam(s)

Domain : RN ATI MedSurg

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 100

Exam Year : 2023

Duration : 60 minutes

Total Questions : 10

Passing Score : 85%

Difficulty : Medium

Instructions : Read each question carefully and select the correct answer. Ensure you manage your time effectively to complete all questions within the given timeframe, as answers cannot be changed after submission.

Description : This exam evaluates RN students' knowledge of Medical-Surgical nursing principles, including the management of acute and chronic conditions, clinical decision-making, and evidence-based interventions across various body systems.

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1 : While caring for a patient with a pulmonary artery catheter, the nurse notes the pulmonary artery pressure to be significantly higher than previously recorded values. The nurse assesses respirations to be unlabored at 16 breaths/min, oxygen saturation of 98% on 3 L of oxygen via nasal cannula, and lungs clear to auscultation bilaterally. What is the priority nursing action?

Obtain a stat chest x-ray to verify proper catheter placement.

Zero reference and level the catheter at the phlebostatic-axis.

Increase supplemental oxygen and notify respiratory therapy

Notify the provider immediately of the assessment findings.

Hint : Check equipment first.

Correct Answers:

Zero reference and level the catheter at the phlebostatic-axis.

Rationale :

An inaccurate reading may be due to improper leveling or zeroing. Assess first before alarming the provider

Distractor Analysis :

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2 : The main purpose of critical care certification is to

Validate knowledge of critical care nursing.

Assure the consumer that you will not make a mistake.

Prepare for graduate school.

Promote magnet status for your facility

Hint : Prove expertise

Correct Answers:

Validate knowledge of critical care nursing.

Rationale :

Certification confirms specialized expertise, not error prevention or facility status.

Distractor Analysis :

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3 : The nurse is caring for a patient with a left subclavian central venous catheter (CVC) and a left radial arterial line. Which assessment finding by the nurse requires immediate action?

Numbness and tingling to the left hand.

Slight bloody drainage at the subclavian insertion site.

Dressing is beginning to lift around the insertion site.

Slight redness at the subclavian insertion site.

Hint : Neurovascular compromise.

Correct Answers:

Numbness and tingling to the left hand.

Rationale :

Suggests nerve compression or ischemia, requiring urgent intervention.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

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4 : A patient is having a cardiac evaluation to assess for possible heart failure and valvular disease. Which study best identifies heart function and measures the size of the cardiac chambers?

Electrophysiology study

12-lead electrocardiogram

Cardiac catheterization

Echocardiogram

Hint : Ultrasound for heart.

Correct Answers:

Echocardiogram

Rationale :

Visualizes heart structure, function, and chamber sizes noninvasively.

Distractor Analysis :

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5 : The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. Which laboratory test result should be most helpful in indicating myocardial infarction?

Creatine kinase-MB (CK-MB)

B-type natriuretic peptide (BNP)

Myoglobin

Troponin

Hint : gold standard marker.

Correct Answers:

Troponin

Rationale :

Highly specific to myocardial injury; peaks later than CK-MB/myoglobin

Distractor Analysis :

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6 : A nurse is caring for a client who has heart failure and a potassium level of 2.4 mEq/L The nurse should identify which of the following medications as the cause of the client's low potassium level.

Spironolactone

Furosemide

Metoprolol

Nitroglycerin

Hint : Diuretic depletes K+.

Correct Answers:

Furosemide

Rationale :

Loop diuretic causes potassium wasting. Spironolactone is potassium-sparing.

Distractor Analysis :

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7 : The nurse is educating a patient's family member about a central venous pressure catheter (CVP). Which statement by the family member best indicates understanding of the purpose of the CVP?

"The catheter will be in position until the heart has a chance to heal."

The catheter will allow the provider to better manage fluid therapy."

"The catheter tip comes to rest inside my brother's left ventricle."

"The catheter will provide multiple IV sites to give intravenous fluid!'

Hint : Monitor fluid status.

Correct Answers:

The catheter will allow the provider to better manage fluid therapy."

Rationale :

CVP measures right atrial pressure to guide fluid balance.

Distractor Analysis :

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8 : A patient was admitted for terminal heart failure and is now eligible for a transplant. The family wants everything possible done to maintain life. Which procedure might be offered to the patient for this condition to increase the patient's quality of life?

Coronary artery bypass graft

Percutaneous coronary artery intervention

Nothing, because the patient is in terminal heart failure

Left ventricular assist device (LVAD)

Hint : Bridge to transplant.

Correct Answers:

Left ventricular assist device (LVAD)

Rationale :

LVAD supports circulation in end-stage heart failure as a bridge to transplant.

Distractor Analysis :

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9 : An essential aspect of teaching that may prevent recurrence of heart failure exacerbations is

Notifying the provider if a 2-1b weight gain occurs in 24 hours.

Taking nitroglycerin if chest pain occurs.

Assessment of an apical pulse.

Compliance with diuretic therapy

Hint : Monitor weight daily.

Correct Answers:

Notifying the provider if a 2-1b weight gain occurs in 24 hours.

Rationale :

Early sign of fluid overload; prevents exacerbations.

Distractor Analysis :

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10 : Which of the following describes a situation in which the blood pressure is severely elevated and there is evidence of actual target organ damage?

Secondary hypertension

Hypertensive urgency

Hypertensive emergency

Primary hypertension

Hint : BP + organ damage

Correct Answers:

Hypertensive emergency

Rationale :

Defined by severe BP elevation + end-organ damage (e.g., stroke, renal failure).

Distractor Analysis :

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Total Questions: 10

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