ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Question 1 of 5
A nurse is assessing client with advanced peripheral arterial disease (PAD). Which of the following findings would the nurse expect?
Correct Answer: A
Rationale: PAD reduces blood flow, causing shiny, hairless skin due to chronic ischemia. Thickened toenails, cool extremities, and diminished or absent pulses are expected, not thin toenails, warm extremities, or normal 3+ pulses.
Extract:
Admission Assessment
Vital Signs
Laboratory results
1800:
A 24-year-old female client reports throbbing pain. swelling discoloration, and warmth in right calf for three days. Client also reports sudden shortness of breath. Denies anything makes it better or worse and denies any other symptoms. Client reports pain as 7 on numeric scale of O to 10.
Client reports only medication she takes is a combined hormonal oral contraceptive every day, started four months ago.
A nurse is assessing a 24-year-old female client.
Question 2 of 5
The client is exhibiting clinical manifestations of [Dropdown Group 1] and a [Dropdown Group 2].
Correct Answer: A,B
Rationale: The client's calf pain, swelling, warmth, and discoloration, along with oral contraceptive use, indicate deep venous thrombosis (DVT). Sudden shortness of breath, tachycardia, tachypnea, and elevated D-dimer suggest pulmonary embolism (PE).
Extract:
Question 3 of 5
The nurse is assessing a client diagnosed with peripheral arterial disease (PAD). The client reports leg pain and cramping after walking a few blocks, which is relieved when the client stops and rests. The nurse documents that the client is experiencing which clinical manifestation?
Correct Answer: D
Rationale: Intermittent claudication is pain/cramping with activity that resolves with rest, due to reduced blood flow in PAD. Neuropathy causes numbness/tingling, venous insufficiency causes swelling, and DVT causes unilateral pain/swelling.
Question 4 of 5
A nurse is completing the medical reconciliation on an elderly client taking several medications. Which of the following prescribed medications places this client at risk for orthostatic hypotension? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Losartan, nifedipine, and furosemide lower blood pressure or fluid volume, increasing orthostatic hypotension risk. Simvastatin and clopidogrel do not directly affect blood pressure.
Question 5 of 5
A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?
Correct Answer: C
Rationale: A QRS duration of 0.06-0.10 seconds is normal and suggests normal conduction through the ventricles in normal sinus rhythm. The P wave should come before the QRS complex, a PR interval >0.20 seconds suggests first-degree AV block, and an inverted T wave suggests myocardial ischemia.