ATI RN
ATI RN Adult Med-Surg 2023 Questions
Extract:
History and Physical
Nurses' Notes
Vital Signs
1000:
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm. History:
Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.
Question 1 of 5
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Select the findings below that would indicate that the client has a potential problem.
Correct Answer: A, C, G
Rationale: The choices indicate a cardiac issue; symptoms suggest acute coronary syndrome.
Extract:
History and Physical
Nurses' Notes
Vital Signs
Diagnostic Results
1000:
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm. History:
Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.
Question 2 of 5
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Complete the following sentence by using the lists of options. The nurse should first address the client's…... followed by the client's…….
Correct Answer: B,D
Rationale: Pain level is the priority, followed by ECG to assess for cardiac ischemia.
Extract:
Question 3 of 5
A nurse in the emergency department is managing the care of a client who has an electrical shock injury. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Electrical shock injuries can cause cardiac arrhythmias, making an ECG the priority to assess heart function.
Question 4 of 5
A nurse is assessing a client who is postoperative following a transurethral resection of the prostate and is receiving continuous bladder irrigation. The client reports bladder spasms, and the nurse notes a scant amount of fluid in the urinary drainage bag. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Bladder spasms and scant drainage suggest a blockage; irrigating with 0.9% sodium chloride clears the catheter.
Question 5 of 5
A nurse is assessing a client who has a urinary catheter. The nurse notes the client's IV tubing is kinked and the urinary catheter bag is lying next to the client in bed. The nurse should identify that the client is at risk for which of the following conditions?
Correct Answer: B
Rationale: A catheter bag next to the client increases infection risk due to potential urine backflow and contamination.