ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is taking digoxin 0.125 mg PO daily and is at risk for developing digoxin toxicity. The nurse should monitor the client for an imbalance of which of the following electrolytes because it can increase the risk for digoxin toxicity?
Correct Answer: D
Rationale: Hypokalemia increases digoxin toxicity risk by enhancing digoxin binding to cardiac cells, affecting contractility and conduction. Other electrolytes are less directly related.
Question 2 of 5
A nurse in the emergency department admitted a client who is having a myocardial infarction. The client has been placed on the heart monitor. Which of the following electrocardiogram strips is indicative of a myocardial infarction?
Correct Answer: C
Rationale: ST segment elevation on the ECG indicates myocardial infarction due to acute ischemia. Other strips may show different arrhythmias or normal rhythms.
Question 3 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 respects their control over the service dog, ensuring its work is not disrupted. Other actions may interfere with the dog's role.
Question 4 of 5
A nurse is reviewing the medical record of a client who has pneumonia. Which of the following serum laboratory values should the nurse expect?
Correct Answer: A
Rationale: A high WBC count (15,000/mm3) is expected in pneumonia due to the inflammatory response to infection. Sodium, BUN, and hematocrit are not directly affected by pneumonia.
Question 5 of 5
A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse, 'I'm not sure I want to have a mastectomy.' Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Providing additional information respects the client's autonomy and helps informed decision-making. Suggesting a second opinion, promising cancer-free status, or sharing others' experiences is inappropriate.