ATI RN
ATI Med Surg 2 Questions
Extract:
Question 1 of 5
A nurse in an emergency department is assessing a client who was bitten on the left leg by a poisonous snake. The client has placed elastic bandages snugly above and below the bite marks and is in no apparent distress. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Removing elastic bandages prevents impaired blood flow and tissue damage, while elevating the leg reduces venom absorption.
Question 2 of 5
A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification?
Correct Answer: C
Rationale: 0.9% normal saline at 50 mL/hr may cause fluid overload in heart failure, requiring clarification.
Question 3 of 5
A nurse is performing cardiopulmonary resuscitation (CPR) for an adult client who is unresponsive. The nurse should evaluate the client's circulation by palpating which of the following pulses?
Correct Answer: A
Rationale: This is correct because the carotid pulse is the most accessible and reliable pulse to check during CPR for an adult client.
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 to the client?
Correct Answer: B
Rationale: Troponin is a heart muscle protein that indicates heart damage when elevated in the bloodstream.
Question 5 of 5
A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure?
Correct Answer: B
Rationale: Respiratory failure is a sign of inhalation anthrax, caused by anthrax spores spreading to the bloodstream.