ATI Detailed Answer Key Practice Test
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A nurse is caring for a client who has congestive
... [Show More] heart failure and is taking Digoxin daily.
The client refused breakfast and is complaining of nausea and weakness. Which of the
following actions should the nurse take first? - ANSWERS-Check the clients vital signs.
A nurse is caring for a client who has thrombophlebitis and is receiving heparin by
continuous IV infusion. The client asks the nurse how long it will take for the heparin to
dissolve the clot. Which of the following responses should the nurse give? - ANSWERSHeparin does not dissolve clots. It stop new clots from forming.
A nurse is caring for a client who has DVT and has been on heparin continuous infusion
for five days. The provider prescribes warfarin PO without discontinuing the heparin. The
client asks the nurse why both anticoagulants are necessary. Which of the following
statements should the nurse make? - ANSWERS-Warfarin takes several days to work
so the IV heparin will be used until the warfarin reaches a therapeutic level.
A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac
dysrhythmias. For which of the following adverse effects should the nurse monitor when
giving this medication? - ANSWERS-Hypotension
A nurse is caring for a client who is taking lisinopril. Which of the following outcomes
indicates a therapeutic effect of the medication? - ANSWERS-Decreased Blood
Pressure
A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart
valve. Which of the following laboratory values should the nurse monitor for a
therapeutic effect of warfarin? - ANSWERS-Prothrombin Time (PT)
A nurse on a medical unit is planning care for an older adult client who takes several
medications. Which of the following prescribed medications places the client at risk for
orhtostatic hypotension? (SELECT ALL THAT APPLY) - ANSWERS-Furosemide [Show Less]