ATI RN
ATI Med Surg 2 Questions
Extract:
Question 1 of 5
A nurse in an emergency department is caring for a client who is bleeding profusely from a deep laceration on his left lower forearm. After observing standard precautions, which of the following actions should the nurse perform first?
Correct Answer: C
Rationale: This is correct because applying direct pressure over the wound is the first and most effective action to stop bleeding, compressing blood vessels to prevent further blood loss.
Question 2 of 5
A nurse in a cardiac care unit is caring for a client with acute right-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Elevated CVP is a finding of right-sided heart failure, reflecting increased pressure in the systemic venous system.
Question 3 of 5
A nurse is caring for a client who was admitted with bleeding esophageal varices and has an esophagogastric balloon tamponade with a Sengstaken-Blakemore tube to control the bleeding. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Providing frequent oral and nares care prevents infection and irritation from the tube.
Question 4 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 5 of 5
A nurse is providing teaching for a client who has a new diagnosis of angina pectoris. Which of the following information should the nurse include about anginal pain?
Correct Answer: D
Rationale: Exertion and anxiety can trigger anginal pain due to increased myocardial oxygen demand.