ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 of 5
A client is recovering from an open reduction of the femur suddenly feels light headed, with increased anxiety and agitation. Which key vital sign differentiates early sepsis from a pulmonary embolism?
Correct Answer: D
Rationale: Fever is an early sign of sepsis, differentiating it from pulmonary embolism, which is associated with respiratory distress, tachycardia, and chest pain. Tachycardia, hypotension, and tachypnea are present in both.
Question 2 of 5
A nurse is providing teaching to the family of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: Clients with Parkinson's disease require supervision due to increased fall and aspiration risks. Continuous television can cause overstimulation, loud speech is unnecessary, and physical activity should be encouraged to maintain mobility.
Question 3 of 5
A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take?
Correct Answer: A,C,D
Rationale: Side-lying position prevents aspiration, removing objects reduces injury risk, and assessing airway patency prevents hypoxia.
Tongue depressors and restraints are contraindicated.
Question 4 of 5
A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide the client?
Correct Answer: C
Rationale: Troponin is a heart muscle protein released into the bloodstream during myocardial injury, making it a specific marker for myocardial infarction. It is not a lipid, enzyme, or oxygen transporter.
Question 5 of 5
A nurse is caring for a client who has severe burns. Which of the following actions should the nurse take when caring for a client with severe burns?
Correct Answer: B,D
Rationale: Severe burns require pain management with opioid analgesics due to excruciating pain and benzodiazepines to manage anxiety. Cooling with ice water can cause vasoconstriction and worsen tissue damage; tepid water is preferred. Systemic antibiotics are not routine unless infection is present. Laying the bed flat is inappropriate as raising the head helps maintain airway patency.