ATI RN
ATI Adult Med Surg Nurs 4292 Exam Questions
Extract:
Question 1 of 5
A client is being admitted to the emergency department with a possible dissecting abdominal aortic aneurysm. Which of the following clinical manifestations are not signs and symptoms of hypovolemic shock?
Correct Answer: C
Rationale: Hypertension is not typical in hypovolemic shock (hypotension is expected).
Question 2 of 5
A client who has a recent closed head injury reports a severe headache and is restless. Which of the following is an appropriate nursing intervention?
Correct Answer: B
Rationale: Elevating the HOB decreases intracranial pressure which may be causing the headache.
Question 3 of 5
A nurse is monitoring an older adult female client who had a myocardial infarction (MI) for the development of an acute kidney injury (AKI). Which of the following findings indicate an increased risk of acute kidney injury (AKI)?
Correct Answer: D
Rationale: Elevated creatinine indicates renal impairment and increased AKI risk post-MI.
Question 4 of 5
A nurse is preparing to instill 840 mL of enteral nutrition via a client's gastrostomy tube over a 24-hour period using an infusion pump. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 35
Rationale: Calculation: 840 mL ÷ 24 hours = 35 mL/hr
Question 5 of 5
A nurse is reviewing the laboratory values of a client who had a myocardial infarction 3 hours ago. The nurse should expect which of the following laboratory values to be elevated?
Correct Answer: A
Rationale: Troponin rises within 3-12 hours post-MI and is the most specific marker for myocardial injury.