ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Question 1 of 5
A client seen in the clinic is directed to bring a sputum specimen back for an acid-fast bacillus (AFB) test in order to rule out tuberculosis. What direction will the nurse give the client regarding the collection of the specimen?
Correct Answer: B
Rationale: Morning sputum samples have higher bacterial concentrations, improving AFB test accuracy. A is premature, C is incorrect as multiple specimens are needed, and D is wrong as cultures take weeks.
Extract:
Medication Administration Record
Vital Signs
1020:
Skin warm and dry. Awake. alert and oriented x3. Transferred to bed from chair. Sat up in chair x3 hours with legs dependent. Reports pain in legs as 4 on a scale of 0 to 10- Dilated veins noted on bilateral lower extremities. Pitting edema 3+ noted to bilateral lower extremities with hyperpigmentation of the skin. Pedal pulses palpable at 2+. Small ulcers noted on bilateral lower legs. Intermittent pneumatic compression pumps intact bilaterally.
A nurse is caring for a client who is experiencing peripheral venous disease.
Question 2 of 5
Which of the following interventions would the nurse include in the plan of care for this client? (Select all that apply)
Correct Answer: A,C,E
Rationale: Elevating legs reduces edema, smoking cessation improves vascular health, and compression stockings enhance venous return. Bed rest, high BMI, and prolonged sitting with legs dependent worsen venous disease.
Extract:
Question 3 of 5
Calculate the heart rate based on this rhythm strip.
Correct Answer: C
Rationale: Using the 6-second rule, count the number of QRS complexes in a 6-second strip and multiply by 10 to get 60 bpm.
Question 4 of 5
A nurse is assessing a client who has bradycardia. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Lightheadedness occurs due to decreased cardiac output from a slow heart rate in bradycardia. Fluid volume deficit usually causes tachycardia, anxiety increases heart rate, and fever also increases heart rate, not decreases it.
Question 5 of 5
The nurse is assessing a client diagnosed with peripheral arterial disease (PAD). The client reports leg pain and cramping after walking a few blocks, which is relieved when the client stops and rests. The nurse documents that the client is experiencing which clinical manifestation?
Correct Answer: D
Rationale: Intermittent claudication is pain/cramping with activity that resolves with rest, due to reduced blood flow in PAD. Neuropathy causes numbness/tingling, venous insufficiency causes swelling, and DVT causes unilateral pain/swelling.