ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A nurse is evaluating a client who had a left-sided cardiac catheterization with an upper extremity insertion site. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Assessing pulses ensures adequate circulation and detects complications like arterial occlusion.
Question 2 of 5
A nurse is caring for a client who is receiving heparin 3,800 units subcutaneous daily. Available is heparin 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)
Correct Answer: A
Rationale: Calculate: 3,800 units ÷ 5,000 units/mL = 0.76 mL, rounded to 0.8 mL.
Extract:
Vital Signs
Diagnostic Results
Medical History
0905:
Temperature: 37°C (98.6°F)
Blood pressure: 172/98 mmHg
Heart rate: 120/min
Respiratory rate: 18/min
Oxygen saturation: 88%
Question 3 of 5
Complete the diagram by specifying: The condition the client is most likely experiencing, two actions the nurse should take, two parameters the nurse should monitor.
| Myocardial infarction |
| Chronic stable angina |
| Ischemic stroke |
| Cardiogenic shock |
| Actions to Take Choices A. Administer oxygen via nasal cannula 2 L/min. B. Administer transdermal nitroglycerin. C. Request a prescription for aspirin 325 mg. D. Request a prescription for morphine 6 mg IV bolus. E. Request a prescription for verapamil 100 mg. |
| Parameters to Monitor Choices A. Vital signs. B. WBC count. C. Electrocardiogram (ECG) rhythm. D. Platelet count. |
Correct Answer: A,E,F,G
Rationale: Elevated troponin and ST elevation indicate myocardial infarction . Administer oxygen and request aspirin to improve oxygenation and prevent clot formation. Monitor vital signs and ECG rhythm for stability and ischemia.
Extract:
Question 4 of 5
A nurse in the emergency department is assessing an older adult client who has community-acquired pneumonia. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Confusion is a common symptom in older adults with pneumonia due to hypoxia or systemic inflammation.
Question 5 of 5
A nurse is providing education to a school-age child who has a new diagnosis of asthma. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Avoiding triggers is a key part of asthma management to prevent attacks.