ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Questions 67

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ATI RN Adult Medical Surgical 2023 IV Questions

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Question 1 of 5

A nurse is caring for a client in the ICU. The client's ECG monitor tracing reveals sinus bradycardia and ST segment elevation. The client reports shortness of breath and feeling dizzy and faint. Which of the following medications should the nurse administer?

Correct Answer: A

Rationale: Atropine (
A) treats symptomatic bradycardia, addressing dizziness and shortness of breath. Lidocaine (
B), digoxin (
C), and sotalol (
D) are inappropriate for acute bradycardia with ischemia.

Question 2 of 5

A nurse is caring for a client who is receiving morphine through a PCA device. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Teaching PCA use (
C) empowers the client to manage pain safely. Monitoring should be more frequent (
A), oral opioids (
B) require orders, and family use (
D) risks overdose.

Question 3 of 5

A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make?

Correct Answer: D

Rationale: Fluctuation in the water-seal chamber (
D) reflects normal intrapleural pressure changes with breathing. Full re-expansion (
A), high suction (
B), or air leaks (
C) have different signs.

Question 4 of 5

A nurse is caring for a client in the ICU. The client's ECG monitor tracing reveals sinus bradycardia and ST segment elevation. The client reports shortness of breath and feeling dizzy and faint. Which of the following medications should the nurse administer?

Correct Answer: A

Rationale: Atropine (
A) treats symptomatic bradycardia, addressing dizziness and shortness of breath. Lidocaine (
B), digoxin (
C), and sotalol (
D) are inappropriate for acute bradycardia with ischemia.

Question 5 of 5

A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: D

Rationale: Wearing gloves for cat litter (
D) prevents toxoplasmosis, critical in AIDS. Alcohol cleaning (
A) is insufficient, dry cleaning (
B) is unnecessary, and diet changes (
C) are not specific to infection prevention.

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