ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?
Correct Answer: B
Rationale: Inability to recognize family members, or prosopagnosia, is a common result of right hemisphere strokes. The right hemisphere is responsible for spatial awareness and recognition of faces, so damage to this area can impair the ability to recognize familiar people.
Question 2 of 5
A nurse is planning care for a client who has deep vein thrombosis of the lower leg. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Keeping the client's affected leg elevated while in bed helps reduce swelling and promotes venous return, which is important in managing DVT.
Question 3 of 5
A nurse is interpreting the ECG strip of a client who has bradycardia. Which of the following cardiac components should the nurse identify as the role of the P wave?
Correct Answer: A
Rationale: The P wave represents atrial depolarization. It is the electrical impulse that triggers the contraction of the atria. The P wave is the first wave in the ECG cycle and indicates the initiation of the heart's electrical activity from the sinoatrial (S
A) node.
Question 4 of 5
A nurse is caring for a client who has prostate cancer and had a prostatectomy. Which of the following should the nurse understand is a potential complication of prostate surgery?
Correct Answer: A
Rationale: Erectile dysfunction is a common complication following prostatectomy due to potential damage to the nerves responsible for erectile function. This can occur as a result of the surgery, particularly if the prostate is near the nerves involved in sexual function.
Extract:
Nurse's Notes
The client arrives to the ED and reports a "fluttering" and "racing" heartbeat. The client also reports dizziness and shortness of breath. Client placed on telemetry, cardiac rhythm is irregular, tachycardic and has unclear P waves.
A nurse is caring for a client in the emergency department (ED).
Question 5 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
| Acton to Take: Prepare the client for defibrillation |
| Obtain a 12 lead ECG |
| Teach the client how to perform vagal maneuver |
| Administer adenosine IV push |
| Administer an anticoagulant |
| Potential conditions A. Atrial fibrillation B. Supraventricular Tachycardia C. Ventricular fibrillation D. Ventricular tachycardia |
| Parameters to monitor A. Central nervous system side effects B. Manifestations of stroke C. Prolonged PR interval D. PT/INR E. Hypokalemia |
Correct Answer: A,B,E,B,D
Rationale: The client is likely experiencing atrial fibrillation, indicated by irregular, tachycardic rhythm and unclear P waves. Obtaining a 12-lead ECG and administering an anticoagulant are appropriate actions. Monitoring for stroke manifestations and PT/INR assesses progress and anticoagulant therapy effectiveness.