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 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 3 of 5
A nurse is caring for a group of clients. The nurse should obtain a blood pressure reading using only the left extremity from which of the following clients?
Correct Answer: B
Rationale: Blood pressure measurement on an arm with an arteriovenous fistula risks damage; the left arm is used instead. PICC lines, weakness, or Bell's palsy do not contraindicate BP measurement.
Question 4 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 connects the client to resources for heating assistance, addressing hypothermia risk in older adults.
Question 5 of 5
A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Identifying the chemical irritant guides irrigation duration and treatment, making it the first step in ocular irrigation.