ATI RN Adult Medical Surgical 2023 I

Extract:

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?

A. DigoxinB. SotalolC. AtropineD. Lidocaine

Correct Answer: C

Rationale: Atropine treats symptomatic bradycardia, which may be causing the client's symptoms.

Question 2 of 5

A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?

A. A client who has diabetes mellitus and is presenting with acute ketoacidosis.B. An older adult client who was admitted with aspiration pneumonia.C. A client who has a compound fracture of the right femur.D. A client who reports having fever, night sweats, and cough for 2 days.

Correct Answer: D

Rationale: Symptoms suggest TB, necessitating a private room for airborne isolation.

Question 3 of 5

A nurse in the emergency department is evaluating a young adult client for bacterial meningitis. Which of the following actions should the nurse take as part of the focused assessment?

A. Tap the client's facial nerve and note any facial twitching.B. Strike the client's patellar tendon with a percussion hammer and note any increase in response.C. Gently elevate the client's head and note any nuchal rigidity.D. Run a tongue blade on the outside of the client's sole and note any flaring of the toes.

Correct Answer: C

Rationale: Nuchal rigidity is a classic sign of meningitis due to meningeal irritation.

Question 4 of 5

A nurse is caring for a group of clients. From which of the following clients should the nurse obtain a blood pressure reading using only the left extremity?

A. A client who has a peripherally inserted central catheter (PICC) in the left armB. A client who has left-sided Bell's palsyC. A client who has right-sided weakness due to Parkinson's diseaseD. A client who has a right upper extremity arteriovenous fistula

Correct Answer: D

Rationale: An AV fistula in the right arm contraindicates BP measurement there; the left arm must be used to avoid damaging the fistula.

Question 5 of 5

A nurse is preparing to obtain a guaiac smear sample from a client for fecal occult blood testing. Which of the following actions should the nurse plan to take?

A. Wear sterile gloves when collecting the sample.B. Discard samples that contain urine.C. Collect three samples from a single bowel movement.D. Take the sample from the outer edge of formed stool.

Correct Answer: B

Rationale: Urine can contaminate the sample, leading to inaccurate occult blood test results.

ATI RN Adult Medical Surgical 2023 I | Nurselytic

Nurselytic

ATI RN

ATI RN