ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect?
Correct Answer: B
Rationale: Atrial fibrillation causes an irregularly irregular pulse due to chaotic atrial impulses. The pulse is palpable, not typically bounding, and often tachycardic, not slow.
Question 2 of 5
A patient with a TBI is experiencing increased Intracranial pressure. What position should the nurse place the patient?
Correct Answer: A
Rationale: Elevating the head to 30 degrees with neck midline facilitates venous drainage, reducing ICP. Other positions increase ICP by obstructing venous outflow or increasing cerebral blood flow.
Question 3 of 5
A nurse is providing care for a client diagnosed with diabetic ketoacidosis (DKA). Which of the following characteristics are associated with DKA?
Correct Answer: C,E,F
Rationale: DKA is characterized by metabolic acidosis, hyperglycemia (>250 mg/dL), and ketosis due to fat breakdown. It causes dehydration, not fluid overload, and is associated with high, not low, blood sugar.
Question 4 of 5
A nurse is assisting with triaging clients following an explosion. Which of the following clients should the nurse identify as the highest priority?
Correct Answer: B
Rationale: In mass casualty triage, clients with compromised respiration (>30 breaths/min) are prioritized as they may deteriorate quickly. Unconscious clients with absent respirations are considered unsalvageable in triage protocols.
Question 5 of 5
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?
Correct Answer: C
Rationale: Aspirin inhibits platelet aggregation, reducing clot formation and cardiovascular event risk in MI patients. Its analgesic, anti-inflammatory, and antipyretic properties are not the primary reasons for its use in this context.