ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has bradycardia. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Lightheadedness occurs due to decreased cardiac output from a slow heart rate in bradycardia. Fluid volume deficit usually causes tachycardia, anxiety increases heart rate, and fever also increases heart rate, not decreases it.
Question 2 of 5
Calculate the heart rate based on this rhythm strip.
Correct Answer: C
Rationale: Using the 6-second rule, count the number of QRS complexes in a 6-second strip and multiply by 10 to get 60 bpm.
Question 3 of 5
A nurse is caring for a client in a cardiac unit. Using the five criteria for ECG analysis information, the nurse interprets the client's ECG as which of the following rhythm interpretations?
Correct Answer: D
Rationale: A heart rate of 102 bpm indicates tachycardia. Regular rhythm, P waves present, PR interval 0.20 sec, and QRS 0.10 sec indicate normal sinus conduction, making it sinus tachycardia.
Question 4 of 5
The nurse is preparing to perform a tuberculin skin test using purified protein derivative (PPD). Which of the following interventions would be important for the nurse to include in the plan of care? (Select all that apply.)
Correct Answer: B,C,D
Rationale: B: BCG vaccine history is critical as it can cause false-positive results. C: Measuring induration, not redness, is key for accurate interpretation. D: The 48-72 hour return is necessary for proper evaluation of the skin reaction. A is incorrect as evaluation occurs at 48-72 hours, and E is incorrect as the needle angle should be 5-15 degrees with bevel up.
Question 5 of 5
A nurse is caring for a client who is being administered spironolactone (Aldactone). Which of the following laboratory values should be monitored due to taking this medication?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia. Monitoring potassium levels is essential to prevent complications like cardiac arrhythmias. Bicarbonate, troponins, and albumin are not directly affected.