ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients. The nurse should obtain a blood pressure reading using only the left extremity from which of the following clients?
Correct Answer: B
Rationale: Blood pressure measurement on an arm with an arteriovenous fistula risks damage; the left arm is used instead. PICC lines, weakness, or Bell's palsy do not contraindicate BP measurement.
Question 2 of 5
A nurse is caring for a client who has a severe burn injury. The nurse should recognize which of the following client findings as an indication of hypovolemic shock?
Correct Answer: B
Rationale: Hyperkalemia (5.2 mEq/L) from cell destruction in burns indicates hypovolemic shock, risking cardiac complications. Normal urine output, capillary refill, and PaCO2 are not specific to shock.
Question 3 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 4 of 5
A nurse is reviewing laboratory results for four clients who are scheduled for surgery. Which of the following laboratory values should the nurse report to the surgeon?
Correct Answer: A
Rationale: A platelet count of 95,000/mm indicates thrombocytopenia, increasing bleeding risk during surgery, requiring immediate reporting. Other values are within normal ranges and do not pose immediate surgical risks.
Question 5 of 5
A nurse is caring for a client who has been prescribed an antibiotic. The client tells the nurse, 'I don't like taking medications because I don't think I need them.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Informing the provider respects the client's autonomy and facilitates further discussion. Other responses may pressure or dismiss the client's concerns.