ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse in the emergency department admitted a client who is having a myocardial infarction. The client has been placed on the heart monitor. Which of the following electrocardiogram strips is indicative of a myocardial infarction?
Correct Answer: C
Rationale: ST segment elevation on the ECG indicates myocardial infarction due to acute ischemia. Other strips may show different arrhythmias or normal rhythms.
Question 2 of 5
A nurse is planning care for a client who has Clostridium difficile gastroenteritis. Which of the following is an appropriate nursing action?
Correct Answer: A
Rationale: Clostridium difficile is highly contagious and requires a protective environment to prevent spread. Chlorhexidine and alcohol-based hand rubs are not effective against its spores, and while gloves are used, a protective environment is the priority.
Question 3 of 5
A nurse is caring for a client who is taking digoxin 0.125 mg PO daily and is at risk for developing digoxin toxicity. The nurse should monitor the client for an imbalance of which of the following electrolytes because it can increase the risk for digoxin toxicity?
Correct Answer: D
Rationale: Hypokalemia increases digoxin toxicity risk by enhancing digoxin binding to cardiac cells, affecting contractility and conduction. Other electrolytes are less directly related.
Question 4 of 5
A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg fiberglass cast. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Intense pain with movement is an early sign of compartment syndrome due to increased pressure compromising tissue perfusion. Bounding pulses, erythema, and normal capillary refill are not typical early indicators.
Question 5 of 5
A nurse is caring for a client who has developed a heart rate of 38/min and reports tremors and feeling faint. Which of the following medications should the nurse anticipate administering?
Correct Answer: C
Rationale: Atropine sulfate treats symptomatic bradycardia (38/min) by increasing heart rate, addressing tremors and faintness. Other medications are inappropriate for this condition.