ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 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: C
Rationale: The rise and fall (tidaling) in the water-seal chamber is caused by normal respiratory pressure changes. Air leaks, full lung expansion, or high suction do not cause tidaling.
Question 2 of 5
A nurse is caring for a client who is experiencing a hypertensive crisis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Performing neurological assessments monitors for end-organ damage in a hypertensive crisis. Dopamine, lactated Ringer's, and supine positioning are not appropriate.
Question 3 of 5
A nurse in an emergency department is preparing a client for emergency surgery. The client's blood alcohol level is 180 mg/dL. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Inserting an NG tube prevents aspiration due to vomiting risk from high blood alcohol levels. Catheter insertion, consent, and stockings are secondary.
Question 4 of 5
A nurse is monitoring a client's heart rhythm following the insertion of a permanent pacemaker. Which of the following images should the nurse expect?
Correct Answer: D
Rationale: A pacemaker produces spikes followed by a QRS complex on an ECG, indicating ventricular contraction. Regular sinus rhythm, chaotic rhythm, or absent electrical activity are not expected.
Question 5 of 5
A nurse in a provider's office is caring for a client who has total vision loss and is the handler of a service dog. Which of the following actions should the nurse take to show consideration for the client and the service animal?
Correct Answer: B
Rationale: Consulting the client before approaching the service dog respects the dog's role and the client's preferences, preventing distraction. Petting, offering water, or commanding the dog can interfere with its duties.