ATI RN
ATI Med Surg 2 Questions
Extract:
Question 1 of 5
A nurse in the emergency department is caring for a client who reports chest pressure and shortness of breath. Which of the following laboratory tests should the nurse anticipate the provider to prescribe?
Correct Answer: A
Rationale: Troponin I is specific for cardiac injury, indicating myocardial infarction in clients with chest pressure and shortness of breath.
Question 2 of 5
A nurse is performing a neurological assessment for a client who has head trauma. Which of the following assessments will give the nurse information about the function of cranial nerve III?
Correct Answer: B
Rationale: Instructing the client to look up and down assesses cranial nerve III (oculomotor), which controls eye movements.
Question 3 of 5
A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Slow, steady bubbling in the suction control chamber indicates proper suction, so the nurse should continue monitoring.
Question 4 of 5
A home health nurse is making a home visit to a client who takes a daily diuretic for heart failure. Which of the following manifestations should the nurse identify as indicating the client is hypokalemic?
Correct Answer: A
Rationale: Fatigue is a manifestation of hypokalemia, caused by low potassium affecting muscle and nerve function.
Question 5 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.