ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a heart rate of 40/min. The client is diaphoretic and has chest pain. Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: Atropine is the first-line medication for treating symptomatic bradycardia. It increases heart rate by blocking vagal effects, appropriate for a client with a heart rate of 40/min, diaphoresis, and chest pain.
Question 2 of 5
A nurse is providing teaching to a client who has a new onset of genital herpes. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: "Stress can activate an outbreak." This statement is correct. Stress is a known trigger for reactivation of the herpes simplex virus, leading to outbreaks of genital herpes. Other triggers can include illness, fatigue, and immune suppression.
Question 3 of 5
A nurse is providing discharge teaching to a client who has acute leukemia and received chemotherapy 12 hours ago. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,E
Rationale: Using an electric shaver reduces the risk of bleeding due to low platelet counts post-chemotherapy. Avoiding crowds minimizes infection risk in immunocompromised patients. Monitoring for bruising helps detect bleeding complications early. Taking temperature weekly is insufficient, and a low-residue diet is not typically necessary.
Question 4 of 5
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should indicate to the nurse the need for immediate intervention?
Correct Answer: C
Rationale: A respiratory rate of 30/min is significantly elevated, indicating potential respiratory distress or neurological deterioration, requiring immediate intervention.
Question 5 of 5
A nurse is caring for a client who had surgery 2 days ago and reports incisional pain. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Assessing the pain's characteristics and intensity first guides appropriate pain management interventions tailored to the client's needs.