Practice Question
A nurse on a medical-surgical unit is caring for a client who reports pain in the jaw, back, and shoulder, and shortness of breath and nausea. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Obtain an EKG.
Rationale:
🟩 Jaw/back/shoulder pain with SOB and nausea are classic acute coronary syndrome red flags.
🟩 A 12-lead ECG is the first diagnostic step to detect ischemia/ST-elevation.
🟩 Early ECG guides reperfusion timelines and antiplatelet/anticoagulant decisions.
🟩 Analgesics/NSAIDs can mask symptoms and aren’t diagnostic; ECG is time-critical.
🟩 Maintain O₂ ≥ 92% as supportive care, but ECG establishes the diagnosis pathway.
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This question is from MS NUR 276 FINAL EXAM FALL 2024 which contains 81 questions.
More Questions from This Exam
Which of the following risk factors is associated with a client having a higher risk of experiencing status asthmatics?
Answer Choices:
A. Bronchial
B. pneumonia
C. Previous stroke
D. Irritants and hypersensitivity to medications
E. Previous intubation due to status asthmatic us episode
A nurse is caring for a client who reports increased anxiety and nervousness, heat intolerance, and unintentional weight loss. Blood testing reveals decreased thyroid-stimulating hormone (TSH), elevated thyroxine (T4), and elevated triiodothyronine (T3) levels. Which of the following vital sign abnormalities does the nurse anticipate?
Answer Choices:
A. Slow respiratory rate
B. Decreased body temperature
C. Tachycardia
D. Hypotension
A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect?
Answer Choices:
A. Slow
B. Not palpable
C. Bounding
D. Irregular
A nurse 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?
Answer Choices:
A. "The medication can take up to 15 minutes to take effect."
B. "Avoid taking the medication prior to exercising.'
C. "Stop taking the medication and notify your provider if you develop a headache
D. "Place the tablet under your tongue, and then take a small sip of water."
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4
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