ATI RN
ATI Med Surg 2 Questions
Question 1 of 5
The 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?
Correct Answer: D
Rationale: Palpating the brachial pulse in the right arm is the correct action. It is contralateral to the insertion site and unaffected by the procedure, providing a reliable assessment of the client's circulatory status post-cardiac catheterization.
Question 2 of 5
A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?
Correct Answer: C
Rationale: This is correct because the client's GCS score is 13, which indicates a severe impairment of consciousness. A GCS score of 8 or less indicates coma, but 13 still suggests significant impairment.
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 preparing to administer dabigatran to a client who has atrial fibrillation. The nurse should explain that the purpose of this medication is which of the following?
Correct Answer: C
Rationale: This is correct because dabigatran reduces the risk of stroke in clients with atrial fibrillation by preventing clot formation and reducing blood viscosity.
Question 5 of 5
A nurse is caring for a client who has a serum potassium level of 5.5 mEq/L. The provider prescribes polystyrene sulfonate. If this medication is effective, the nurse should expect which of the following changes on the client's ECG?
Correct Answer: C
Rationale: This is correct because a reduction of T-wave amplitude is a sign of hyperkalemia reversal. Polystyrene sulfonate lowers serum potassium, reversing ECG changes like peaked T waves.