ATI RN
ATI Med Surg 2 Questions
Question 1 of 5
A nurse in an emergency department is assessing a client who was bitten on the left leg by a poisonous snake. The client has placed elastic bandages snugly above and below the bite marks and is in no apparent distress. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Removing elastic bandages prevents impaired blood flow and tissue damage, while elevating the leg reduces venom absorption.
Question 2 of 5
A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?
Correct Answer: C
Rationale: Atrial fibrillation causes irregular palpitations, fatigue, dizziness, and pulse deficit due to ineffective atrial contractions.
Question 3 of 5
A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care?
Correct Answer: D
Rationale: This is correct because this client has a life-threatening condition called tension pneumothorax, which requires immediate care. The hissing sound indicates air escaping from the lung, necessitating urgent intervention.
Question 4 of 5
A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?
Correct Answer: A
Rationale: Elective cardioversion is used for stable VT to restore normal rhythm.
Question 5 of 5
A nurse is providing teaching for a client who has a new diagnosis of angina pectoris. Which of the following information should the nurse include about anginal pain?
Correct Answer: D
Rationale: Exertion and anxiety can trigger anginal pain due to increased myocardial oxygen demand.