ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification?
Correct Answer: A
Rationale: Administering 0.9% normal saline at 50 mL/hr continuous is not appropriate for a client with acute heart failure. This solution is isotonic and may contribute to fluid overload, which could worsen the heart failure. In acute heart failure, fluids are typically restricted, and intravenous solutions with a lower sodium content or diuretics are preferred to help manage fluid balance.
Question 2 of 5
A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Cortisol replacement therapy is essential for children with Addison's disease because the condition involves insufficient production of cortisol, a hormone vital for stress response and metabolism. Teaching parents about this therapy is a key nursing intervention to ensure proper management of the disease.
Question 3 of 5
A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction?
Correct Answer: C
Rationale: A 12-lead ECG is the most definitive tool for diagnosing a myocardial infarction. It can detect changes in the heart's electrical activity that are characteristic of an MI, such as ST-segment elevation or depression.
Question 4 of 5
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A severe headache is a hallmark symptom of meningitis. The inflammation of the meninges (the protective membranes covering the brain and spinal cord) typically causes intense headache, along with other symptoms such as fever, nausea, and photophobia.
Question 5 of 5
A nurse is assessing a client who reports numbness and pain in his right palm, index finger, and middle finger. The client reports working with a keyboard most of the time while at work. The nurse suspects carpal tunnel syndrome. Which of the following tests should the nurse request that the client perform?
Correct Answer: B
Rationale: Holding the wrist at a 90-degree flexion is a classic test for carpal tunnel syndrome, known as the Phalen's test. This maneuver increases pressure on the median nerve, which can reproduce symptoms of numbness and tingling in the fingers, a characteristic sign of carpal tunnel syndrome.