ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to reduce the client's risk of aspiration pneumonia?
Correct Answer: B
Rationale: Elevating the head to 90° during meals aids safe swallowing, reducing aspiration risk. A increases distraction, C is insufficient, and D increases aspiration risk.
Question 2 of 5
The nurse receives a new client from the emergency department with an order for propranolol (Inderal). Upon looking at the client's history, which diagnosis would make the nurse clarify this order?
Correct Answer: B
Rationale: Propranolol is a nonselective beta-blocker that can cause bronchoconstriction in asthma, leading to respiratory distress. It is not contraindicated in kidney failure (though caution is needed), and it is used to treat hypertension and tachycardia.
Question 3 of 5
A nurse is assessing a client who has chronic venous insufficiency. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Chronic venous insufficiency causes venous stasis, leading to iron deposits and bronze/brown skin discoloration. Cool skin, decreased pulses, and claudication are indicative of arterial insufficiency, not venous.
Question 4 of 5
A nurse is assessing a client who has bradycardia. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Lightheadedness occurs due to decreased cardiac output from a slow heart rate in bradycardia. Fluid volume deficit usually causes tachycardia, anxiety increases heart rate, and fever also increases heart rate, not decreases it.
Question 5 of 5
The nurse is preparing to perform a tuberculin skin test using purified protein derivative (PPD). Which of the following interventions would be important for the nurse to include in the plan of care? (Select all that apply.)
Correct Answer: B,C,D
Rationale: B: BCG vaccine history is critical as it can cause false-positive results. C: Measuring induration, not redness, is key for accurate interpretation. D: The 48-72 hour return is necessary for proper evaluation of the skin reaction. A is incorrect as evaluation occurs at 48-72 hours, and E is incorrect as the needle angle should be 5-15 degrees with bevel up.