ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse in the emergency department is caring for a client who is experiencing manifestations of a myocardial infarction (MI). Which of the following laboratory tests should the nurse expect the provider to prescribe?
Correct Answer: B
Rationale: Troponin is the gold standard laboratory test for diagnosing myocardial infarction. It is a protein released from damaged heart muscle cells, and elevated levels indicate myocardial injury. Troponin levels are highly specific to cardiac tissue and remain elevated for several days after an MI.
Question 2 of 5
A nurse at an urgent care center is caring for four clients who all have leg or foot injuries. Which of the following client reports should suggest to the nurse that the client has an ankle sprain?
Correct Answer: B
Rationale: Twisting the foot while running or changing direction quickly, as often happens in sports like baseball, is a common mechanism for an ankle sprain. Sprains occur when the ligaments are stretched or torn due to excessive force or twisting.
Question 3 of 5
A patient who is scheduled for gastric bypass surgery asks for information about dumping syndrome. How does the nurse explain dumping syndrome?
Correct Answer: C
Rationale: Dumping syndrome occurs when food, especially sugar, moves too quickly from the stomach into the small intestine, overwhelming the digestive system. This leads to symptoms like abdominal cramping, dizziness, and diarrhea.
Question 4 of 5
An acute pancreatitis patient who complains of muscle cramping. The nurse explains to the patient that is the typical sign and symptom of?
Correct Answer: B
Rationale: Hypocalcemia is a common sign of muscle cramping in acute pancreatitis due to the precipitation of calcium in the pancreas or surrounding tissues, leading to neuromuscular irritability and muscle spasms.
Question 5 of 5
A nurse in the emergency department is caring for a client who is experiencing manifestations of a myocardial infarction (MI). Which of the following laboratory tests should the nurse expect the provider to prescribe?
Correct Answer: B
Rationale: Troponin is the gold standard laboratory test for diagnosing myocardial infarction. It is a protein released from damaged heart muscle cells, and elevated levels indicate myocardial injury. Troponin levels are highly specific to cardiac tissue and remain elevated for several days after an MI.