ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?
Correct Answer: C
Rationale: Fever, night sweats, and cough suggest possible tuberculosis, requiring airborne isolation in a private room. Ketoacidosis, fractures, and pneumonia don't typically require private rooms unless contagious.
Question 2 of 5
A nurse is caring for a client in the ICU. The client's ECG monitor tracing reveals sinus bradycardia and ST segment elevation. The client reports shortness of breath and feeling dizzy and faint. Which of the following medications should the nurse administer?
Correct Answer: C
Rationale: Sinus bradycardia causing dizziness and shortness of breath indicates symptomatic hypotension. Atropine increases heart rate. Lidocaine and sotalol treat arrhythmias, and digoxin slows heart rate, worsening bradycardia.
Question 3 of 5
A nurse is caring for a client who has acute angina. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Nitroglycerin relieves acute angina by dilating coronary arteries, improving blood flow, and is the first action to alleviate chest pain. Aspirin, IV access, and blood pressure follow for further management.
Question 4 of 5
A nurse is caring for a client immediately following a cardiac catheterization through the right femoral artery. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Keeping the leg straight prevents bleeding or hematoma at the femoral puncture site post-catheterization. Hourly vitals are insufficient, 45° elevation risks clot dislodgement, and fluid restriction is unnecessary unless specified.
Question 5 of 5
A nurse is assessing a client who is 4 hr postoperative following arterial revascularization of the left femoral artery. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: D
Rationale: Pallor suggests compromised blood flow post-revascularization, indicating possible graft occlusion, requiring immediate reporting. Mild fever, bruising, and adequate urine output are less urgent.