Questions 96

ATI RN

ATI RN Test Bank

ATI Adult Medical Surgical 2019 Questions

Extract:


Question 1 of 5

A nurse in an emergency department is reviewing a client's ECG reading. Which of the following findings should the nurse identify as an indication that the client has first-degree heart block?

Correct Answer: A

Rationale: First-degree heart block is characterized by prolonged PR intervals (>0.20 seconds) due to delayed AV node conduction. Nondiscernible P waves, more P waves than QRS, or no P-QRS correlation indicate other arrhythmias.

Question 2 of 5

A nurse is planning care for an older adult client who has Ménière's disease. Which of the following interventions should the nurse include in the plan?

Correct Answer: A

Rationale: Changing positions slowly prevents dizziness and falls in Ménière's disease. Neck exercises, aspirin, and fluid restriction are not standard interventions.

Question 3 of 5

A nurse is caring for a client in the emergency department who experienced a full-thickness burn injury to the lower torso 1 hr ago. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Full-thickness burns cause fluid loss and hypovolemia, leading to hypotension. Urinary diuresis, decreased respiratory rate, and bradycardia are not typical findings.

Question 4 of 5

A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy?

Correct Answer: A

Rationale: Lymphedema is a contraindication for acupuncture due to infection risk in the affected area. Mouth sores, headaches, and urticaria are not contraindications.

Question 5 of 5

A nurse is caring for a female client who has toxic shock syndrome. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale:
Toxic shock syndrome (TSS) is a life-threatening condition caused by bacterial toxins. A generalized rash resembling a sunburn is a hallmark symptom of TSS, often accompanied by high fever, hypotension, and other systemic symptoms. Elevated platelet count, decreased total bilirubin, and hypertension are not typical findings in TSS.

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