ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse in the emergency room is caring for a client who presents with manifestations that indicate a myocardial infarction. Which of the following prescriptions should the nurse take first?
Correct Answer: A
Rationale: Oxygen therapy optimizes oxygen delivery to ischemic myocardial tissue, critical in the acute phase of MI. IV insertion, ECG, and blood samples are secondary.
Question 2 of 5
A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect?
Correct Answer: B
Rationale: Atrial fibrillation causes an irregularly irregular pulse due to chaotic atrial impulses. The pulse is palpable, not typically bounding, and often tachycardic, not slow.
Question 3 of 5
A nurse is assessing a client who is 1 week postoperative, following a living donor kidney transplant. Which of the following findings indicates that the client is experiencing a transplant rejection of their new kidney?
Correct Answer: A
Rationale: Hypertension indicates compromised kidney function, a sign of transplant rejection. Normal sodium, urinary output, and creatinine levels do not suggest rejection.
Question 4 of 5
A nurse is assisting with triaging clients following an explosion. Which of the following clients should the nurse identify as the highest priority?
Correct Answer: B
Rationale: In mass casualty triage, clients with compromised respiration (>30 breaths/min) are prioritized as they may deteriorate quickly. Unconscious clients with absent respirations are considered unsalvageable in triage protocols.
Question 5 of 5
A patient with a TBI is experiencing increased Intracranial pressure. What position should the nurse place the patient?
Correct Answer: A
Rationale: Elevating the head to 30 degrees with neck midline facilitates venous drainage, reducing ICP. Other positions increase ICP by obstructing venous outflow or increasing cerebral blood flow.