ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is taking enalapril (Vasotec). Which of the following outcomes indicates a therapeutic effect of the medication?
Correct Answer: D
Rationale: Enalapril, an ACE inhibitor, lowers blood pressure by preventing vasoconstriction and reducing fluid retention. It does not directly treat claudication or affect cholesterol levels.
Question 2 of 5
The nurse is checking a coworker's tuberculosis (TB) skin test. The forearm has a raised red area about 12 mm in diameter after 72 hours. What is the best interpretation of this skin test?
Correct Answer: A
Rationale: A 12 mm induration after 72 hours indicates TB exposure, a positive result. B requires further testing, C is unlikely, and D is incorrect as the reaction is positive.
Extract:
Medication Administration Record
Vital Signs
1020:
Skin warm and dry. Awake. alert and oriented x3. Transferred to bed from chair. Sat up in chair x3 hours with legs dependent. Reports pain in legs as 4 on a scale of 0 to 10- Dilated veins noted on bilateral lower extremities. Pitting edema 3+ noted to bilateral lower extremities with hyperpigmentation of the skin. Pedal pulses palpable at 2+. Small ulcers noted on bilateral lower legs. Intermittent pneumatic compression pumps intact bilaterally.
A nurse is caring for a client who is experiencing peripheral venous disease.
Question 3 of 5
Which of the following interventions would the nurse include in the plan of care for this client? (Select all that apply)
Correct Answer: A,C,E
Rationale: Elevating legs reduces edema, smoking cessation improves vascular health, and compression stockings enhance venous return. Bed rest, high BMI, and prolonged sitting with legs dependent worsen venous disease.
Extract:
Question 4 of 5
A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wave. On the graphic, point and click on the area of the electrocardiogram (ECG) that represents the T wave.
Correct Answer: A
Rationale: The T wave, representing ventricular repolarization, is the prominent upward wave following the QRS complex. Hyperkalemia may cause tall, peaked T waves.
Question 5 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.