ATI RN
ATI Med Surg 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has hypertension and develops epistaxis. Which of the following actions should the nurse take?
Correct Answer: A,C,E
Rationale: Correct actions include placing ice to cause vasoconstriction, moving to high-Fowler's to lower head/neck blood pressure, and applying pressure to compress the bleeding site.
Question 2 of 5
A nurse is assisting with obtaining an electrocardiogram (ECG) for a client who has atrial fibrillation. Which of the following actions should the nurse take?
Correct Answer: A,B
Rationale: Inspecting electrode pads and instructing the client not to talk ensure accurate ECG results.
Question 3 of 5
A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?
Correct Answer: C
Rationale: Atrial fibrillation causes irregular palpitations, fatigue, dizziness, and pulse deficit due to ineffective atrial contractions.
Question 4 of 5
A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse take?
Correct Answer: B
Rationale: Elevating the head of the bed to 30 degrees reduces intracranial pressure by facilitating venous drainage.
Question 5 of 5
A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse that the client is developing this condition?
Correct Answer: D
Rationale: Breathlessness is a manifestation of left-sided heart failure, caused by pulmonary congestion and edema impairing gas exchange.