ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Question 1 of 5
A client who has recently traveled out of the United States comes to the emergency department with fatigue, lethargy, night sweats, and a low-grade fever. What is the nurse's first action?
Correct Answer: C
Rationale: Masking prevents potential TB transmission, a priority in infection control. A, B, and D follow after ensuring safety.
Question 2 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.
Question 3 of 5
A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wave. On the graphic, point and click on the area of the electrocardiogram (ECG) that represents the T wave.
Correct Answer: A
Rationale: The T wave, representing ventricular repolarization, is the prominent upward wave following the QRS complex. Hyperkalemia may cause tall, peaked T waves.
Question 4 of 5
A nurse is caring for a client who requires isolation for active pulmonary tuberculosis. Which of the following precautions should the nurse take to prevent the spread of infection? (Select all that apply.)
Correct Answer: C,D,E
Rationale: C: A surgical mask on the client during transport prevents droplet spread. D: Healthcare providers must wear an N95 mask to protect against airborne particles. E: A closed door maintains negative pressure in the isolation room. A is unnecessary as the client doesn't need a mask when alone, and B is incorrect as TB requires airborne, not contact, precautions.
Question 5 of 5
A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?
Correct Answer: C
Rationale: A QRS duration of 0.06-0.10 seconds is normal and suggests normal conduction through the ventricles in normal sinus rhythm. The P wave should come before the QRS complex, a PR interval >0.20 seconds suggests first-degree AV block, and an inverted T wave suggests myocardial ischemia.