ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is assessing for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: A decrease in systolic pressure by more than 10 mm Hg during inspiration is a classic sign of paradoxical blood pressure, which can occur in conditions such as constrictive pericarditis. This occurs because the pressure within the pericardium prevents the heart from expanding fully during inspiration, leading to a drop in systolic blood pressure.
Question 2 of 5
A nurse is assessing a client who has bradycardia. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Lightheadedness is a common symptom of bradycardia. When the heart rate is too slow, the body may not pump enough blood to meet its oxygen demands, leading to dizziness or lightheadedness.
Question 3 of 5
The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, 'I always get a rash when I eat shellfish.' Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Notifying the provider of the client's shellfish allergy is the priority action. Shellfish allergies can indicate a potential reaction to iodine-based contrast media, which could lead to severe reactions such as anaphylaxis. The provider needs to be aware to take appropriate precautions.
Question 4 of 5
A nurse is assessing for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: A decrease in systolic pressure by more than 10 mm Hg during inspiration is a classic sign of paradoxical blood pressure, which can occur in conditions such as constrictive pericarditis. This occurs because the pressure within the pericardium prevents the heart from expanding fully during inspiration, leading to a drop in systolic blood pressure.
Question 5 of 5
A nurse is caring for a client who has returned from the surgical suite following surgery for a fractured mandible. The client had intermaxillary fixation to repair and stabilize the fracture. Which of the following actions is the priority for the nurse to take?
Correct Answer: B
Rationale: Preventing aspiration is the priority because the client may have difficulty swallowing or controlling their airway due to the surgical procedure and fixation of the jaw. The nurse should ensure the client's airway is clear and that they are positioned appropriately to prevent aspiration.