ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction?
Correct Answer: C
Rationale: A 12-lead ECG is the most definitive tool for diagnosing a myocardial infarction. It can detect changes in the heart's electrical activity that are characteristic of an MI, such as ST-segment elevation or depression.
Question 2 of 5
The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, 'I always get a rash when I eat shellfish.' Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Notifying the provider of the client's shellfish allergy is the priority action. Shellfish allergies can indicate a potential reaction to iodine-based contrast media, which could lead to severe reactions such as anaphylaxis. The provider needs to be aware to take appropriate precautions.
Question 3 of 5
A nurse is assessing a client who has bradycardia. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Lightheadedness is a common symptom of bradycardia. When the heart rate is too slow, the body may not pump enough blood to meet its oxygen demands, leading to dizziness or lightheadedness.
Question 4 of 5
A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was
Correct Answer: C
Rationale: Hoarseness is the earliest and most common symptom of laryngeal cancer. It occurs because the tumor affects the vocal cords, causing changes in the voice. This symptom often appears early in the disease process, especially in individuals with a history of smoking.
Question 5 of 5
A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Assessing for neck vein distention, blood glucose levels, daily weight, and irregular heart rate are appropriate for Cushing's syndrome due to fluid retention, hyperglycemia, weight gain, and potential electrolyte imbalances. Postural hypotension is not typical.