ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor. Which of the following should the nurse analyze to determine whether the client is experiencing a myocardial infarction?
Correct Answer: B
Rationale: ST segment elevation or depression indicates myocardial infarction due to ischemia. Other components reflect different cardiac functions.
Question 2 of 5
A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications to give at 0800 should the nurse withhold?
Correct Answer: C
Rationale: Metformin is withheld before IV contrast dye procedures to prevent lactic acidosis, a rare but serious complication. Other medications are safe to administer.
Question 3 of 5
A nurse is caring for a client who has an IV in the left forearm and whose infusion pump has alarmed several times. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Repositioning the arm addresses common infusion pump alarms caused by tubing occlusion from arm position, the most likely issue.
Question 4 of 5
A nurse is preparing to assist the provider with a thoracentesis for a client who has a left pleural effusion. Which of the following interventions is the priority for the nurse?
Correct Answer: D
Rationale: Checking for local anesthetic allergies prevents severe reactions during thoracentesis, prioritizing client safety.
Question 5 of 5
A home health nurse is providing care to an older adult client during the winter. During an in-home visit, the nurse notes that the thermostat is set to 12.8° C (55° F). The client tells the nurse, 'I keep the heat set low because I can't afford to pay the bill.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Contacting Health and Human Services provides access to heating assistance, mitigating hypothermia risk in older adults.