ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a patient diagnosed with hypokalemia. Which of the following ECG findings would the nurse expect to observe in a patient with severe hyperkalemia?
Correct Answer: C
Rationale: Tall, peaked T waves are a hallmark ECG finding in hyperkalemia, especially when potassium levels exceed 6.0 mEq/L. A depressed ST segment and U waves are characteristic of hypokalemia, not hyperkalemia. T wave inversions occur in ischemia, not hyperkalemia.
Question 2 of 5
A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 30. Which of the following goals should the nurse include?
Correct Answer: B
Rationale: Regular exercise, such as walking 30 minutes 5 days a week, improves cardiovascular health, aids weight management, and lowers blood pressure. Calcium avoidance is unnecessary, increased calories are counterproductive, and smokeless tobacco still poses risks.
Question 3 of 5
The nurse receives a new client from the emergency department with an order for propranolol (Inderal). Upon looking at the client's history, which diagnosis would make the nurse clarify this order?
Correct Answer: B
Rationale: Propranolol is a nonselective beta-blocker that can cause bronchoconstriction in asthma, leading to respiratory distress. It is not contraindicated in kidney failure (though caution is needed), and it is used to treat hypertension and tachycardia.
Question 4 of 5
When obtaining a health history from a patient suspected of having community-acquired pneumonia, the nurse should ask the patient about the presence of which of the following symptoms?
Correct Answer: B
Rationale: Cough, sputum changes, dyspnea, and chest pain are hallmark symptoms of pneumonia due to lung infection and inflammation. A is related to hypoglycemia, C is more indicative of tuberculosis, and D suggests gastrointestinal issues.
Question 5 of 5
A nurse is prioritizing client care after receiving change-of-shift report. Which of the following clients should the nurse plan to see first?
Correct Answer: D
Rationale: Tachycardia in a pneumonia client may indicate sepsis or worsening respiratory status, requiring immediate assessment. A, B, and C are less urgent.