ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A home health nurse is providing care to an older adult client during the winter. During an in-home visit, the nurse notes that the thermostat is set to 12.8° C (55° F). The client tells the nurse, 'I keep the heat set low because I can't afford to pay the bill.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Contacting Health and Human Services connects the client to resources for heating assistance, addressing hypothermia risk in older adults.
Question 2 of 5
A nurse is reviewing a client's cardiac monitor for dysrhythmias. Which of the following findings should the nurse identify as an indication for the placement of a permanent pacemaker?
Correct Answer: B
Rationale: Complete AV block with rates below 40/min risks severe bradycardia and symptoms, necessitating a pacemaker. Other conditions are less severe or not indications.
Question 3 of 5
A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?
Correct Answer: C
Rationale: Pancreatitis causing left shoulder pain is referred pain via the phrenic nerve. Other pains are localized to their source.
Question 4 of 5
A nurse is assessing a client who is receiving valsartan to treat heart failure. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: D
Rationale: Valsartan lowers blood pressure by blocking angiotensin II, reducing cardiac workload in heart failure. Decreased urine output, increased heart rate, or potassium levels suggest worsening or adverse effects.
Question 5 of 5
A nurse is checking a client's ventilator settings. The nurse should understand that positive end-expiratory pressure has which of the following purposes?
Correct Answer: D
Rationale: Positive end-expiratory pressure (PEEP) prevents alveolar collapse by maintaining airway pressure at expiration, improving oxygenation. It does not affect tidal volume, inspiratory pressure, or ventilation rate.