ATI RN
ATI Med Surg exam 2 III Questions
Question 1 of 5
A nurse is teaching a newly licensed nurse about evaluating a cardiac rhythm. Which of the following options should the nurse identify as the P wave in the ECG complex?
Correct Answer: A
Rationale: The first upward deflection in an ECG represents the P wave, indicating atrial depolarization. It precedes the QRS complex and corresponds to the electrical activity associated with atrial contraction, initiating the cardiac cycle.
Extract:
Nurses Notes
Vital Signs
Provider's Prescriptions
0700: Client arrived in the ED complaining of chest discomfort and shortness of breath. Alert and oriented x3. Reports a history of hypertension and diabetes mellitus. Skin is warm and dry. Respirations are 18/min, easy and regular. Oxygen saturation is 91% on room air. Morphine Sulfate 2 mg administered IVP at 0715 for pain management. Client resting in bed, denies pain at this time.
Question 2 of 5
A nurse is caring for a 58-year-old male client in the emergency department (ED) who presents with an irregular pulse and elevated blood pressure. The nurse is planning care for the client. For each potential prescription, indicate whether it is indicated, nonessential, or contraindicated.
| Options | Indicated | Nonessential | Contraindicated |
|---|---|---|---|
| Administer O2 to maintain oxygen saturation greater than 90%. | |||
| Apply continuous ECG monitoring. | |||
| Obtain the client's family history. | |||
| Prepare the client for intubation. |
Correct Answer: A,B
Rationale: Administering O2 to maintain oxygen saturation greater than 90% is indicated to improve tissue oxygenation. Continuous ECG monitoring is crucial for detecting arrhythmias and ischemic changes.
Extract:
Question 3 of 5
A nurse is caring for a client who reports an area of redness, warmth, tenderness and pain in the right calf. The nurse anticipates which of the following orders when notifying the provider of this finding?
Correct Answer: C
Rationale: Venous duplex ultrasound is the gold standard for diagnosing DVT as it visualizes blood flow and identifies thrombi within the veins, providing accurate and non-invasive detection.
Question 4 of 5
A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Potassium 2.3 mEq/L is significantly below the normal range (3.5-5.0 mEq/L), indicating hypokalemia, which can lead to arrhythmias and requires prompt reporting.
Extract:
Medical History
Nurses Notes
Diagnostic Results
Client admitted with a report of pain between shoulder blades and frequent indigestion. States pain comes and goes, with activity exacerbating the pain. Past medical history includes hypertension, metabolic syndrome, and diabetes mellitus. Past surgical history includes wound debridement of the heel 18 months ago. Current medications: Metoprolol 50 mg PO BID, metformin 500 mg PO BID, atorvastatin 20 mg PO daily.
Question 5 of 5
The nurse has completed the client's admission history. The client is most likely suffering from [Dropdown Group 1] as evidenced by the client's [Dropdown Group 2].
| Myocardial infarction |
| Aortic dissection |
| Gastroesophageal reflux disease (GERD) |
| Musculoskeletal strain |
| Elevated troponin levels and ST-segment elevation on ECG |
| Severe pain between shoulder blades and history of hypertension |
| Heartburn and regurgitation after meals |
Correct Answer: C,F
Rationale: Gastroesophageal reflux disease (GER
D) is likely due to the client's report of pain between the shoulder blades, exacerbated by activity, and a history of hypertension, which aligns with GERD symptoms.