ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Defibrillation is the priority action for a client in ventricular fibrillation. This life-threatening arrhythmia causes the heart to quiver rather than pump effectively, and defibrillation is the only way to restore a normal rhythm. Immediate defibrillation is critical to prevent death.
Question 2 of 5
A nurse is preparing a community presentation about repetitive motion injuries. Which of the following occupations should the nurse identify as increasing a client's risk for carpal tunnel syndrome?
Correct Answer: A
Rationale: Nursing assistants are at an increased risk for carpal tunnel syndrome due to the repetitive nature of tasks like lifting, transferring, and assisting patients, which can lead to strain on the wrist and pressure on the median nerve.
Question 3 of 5
A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Defibrillation is the priority action for a client in ventricular fibrillation. This life-threatening arrhythmia causes the heart to quiver rather than pump effectively, and defibrillation is the only way to restore a normal rhythm. Immediate defibrillation is critical to prevent death.
Question 4 of 5
A nurse is planning to calculate a client's cardiac output. Which of the following data should the nurse obtain to calculate the cardiac output?
Correct Answer: D
Rationale: Heart rate is one of the key components in calculating cardiac output, along with stroke volume. Cardiac output is calculated by multiplying the heart rate (beats per minute) by the stroke volume (the amount of blood pumped by the heart per beat). This provides the total amount of blood the heart pumps per minute.
Question 5 of 5
A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Assessing for neck vein distention, blood glucose levels, daily weight, and irregular heart rate are appropriate for Cushing's syndrome due to fluid retention, hyperglycemia, weight gain, and potential electrolyte imbalances. Postural hypotension is not typical.