Questions 9

ATI RN

ATI RN Test Bank

ATI Capstone Medical Surgical Assessment 1 Quizlet Questions

Question 1 of 5

What should the healthcare provider do first when a patient is admitted with chest pain and possible acute coronary syndrome?

Correct Answer: A

Rationale: Administering sublingual nitroglycerin is the priority intervention when a patient presents with chest pain and suspected acute coronary syndrome. Nitroglycerin helps dilate blood vessels, improve blood flow to the heart, and relieve chest pain. It is crucial to address the pain and potential ischemia promptly to prevent further cardiac tissue damage. Getting IV access, auscultating heart sounds, and obtaining cardiac enzymes are important assessments and interventions, but administering nitroglycerin takes precedence in managing acute coronary syndrome.

Question 2 of 5

What are the early symptoms of compartment syndrome?

Correct Answer: A

Rationale: The correct answer is A: 'Unrelieved pain, pallor, and pulselessness.' Compartment syndrome is characterized by increased pressure within a muscle compartment, leading to reduced blood flow and potential tissue damage. Early symptoms include unrelieved pain (out of proportion to the injury), pallor (pale skin color), and pulselessness (decreased or absent pulses). Choices B, C, and D are incorrect as they do not represent the classic early symptoms of compartment syndrome.

Question 3 of 5

What is the first nursing action for a patient admitted with chest pain from acute coronary syndrome?

Correct Answer: A

Rationale: The correct answer is to administer sublingual nitroglycerin. This is the priority action for a patient admitted with chest pain from acute coronary syndrome. Nitroglycerin helps dilate blood vessels, improve blood flow to the heart, and relieve chest pain. Checking the patient's urine output (Choice B) is not the priority in this situation. Administering IV fluids (Choice C) may not be necessary unless indicated by the patient's condition. Obtaining cardiac enzymes (Choice D) is important but is not the initial action needed to address the patient's acute symptoms.

Question 4 of 5

What teaching should be provided to a patient following an escharotomy for burn injuries?

Correct Answer: A

Rationale: Following an escharotomy for burn injuries, patients should be taught to monitor for infection and care for the incision site. Choice A is the correct answer because infection is a common risk after a procedure involving incisions. Choices B, C, and D are incorrect. Restricting fluid intake is not typically advised after an escharotomy; avoiding physical activity may vary depending on the individual's condition and should be guided by healthcare providers; and limiting phosphorus to 1,500 mg/day is not directly related to post-escharotomy care.

Question 5 of 5

What dietary instructions should be provided for a patient with pre-dialysis end-stage kidney disease?

Correct Answer: A

Rationale: Patients with pre-dialysis end-stage kidney disease should limit phosphorus intake to manage their condition. Excessive phosphorus can lead to mineral and bone disorders in patients with kidney disease. Choices B, C, and D are incorrect. Increasing protein intake is not recommended as it can burden the kidneys. Increasing sodium intake is usually discouraged due to its association with hypertension and fluid retention in kidney disease. Avoiding potassium-rich foods is more relevant in advanced kidney disease stages when potassium levels are high, not in pre-dialysis end-stage kidney disease.

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