ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?
Correct Answer: C
Rationale: Aspirin acts as an antiplatelet aggregate, which is its key action in preventing the formation of blood clots. This is crucial for patients with a history of MI, as it helps reduce the risk of further clot-related events, such as a recurrent MI or stroke.
Question 2 of 5
A nurse is interpreting the ECG strip of a client who has bradycardia. Which of the following cardiac components should the nurse identify as the role of the P wave?
Correct Answer: A
Rationale: The P wave represents atrial depolarization. It is the electrical impulse that triggers the contraction of the atria. The P wave is the first wave in the ECG cycle and indicates the initiation of the heart's electrical activity from the sinoatrial (S
A) node.
Question 3 of 5
A nurse is assessing a client who has right-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Peripheral edema is a classic sign of right-sided heart failure, as blood backs up in the systemic circulation, causing fluid retention, especially in the lower extremities.
Question 4 of 5
A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions?
Correct Answer: D
Rationale: Massaging the legs is unsafe because it can dislodge a clot if one is present, leading to a potential embolism. It is important to avoid deep pressure on the legs in clients at risk for VTE.
Question 5 of 5
A nurse at an urgent care center is caring for four clients who all have leg or foot injuries. Which of the following client reports should suggest to the nurse that the client has an ankle sprain?
Correct Answer: B
Rationale: Twisting the foot while running or changing direction quickly, as often happens in sports like baseball, is a common mechanism for an ankle sprain. Sprains occur when the ligaments are stretched or torn due to excessive force or twisting.