ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is monitoring a client's heart rhythm following the insertion of a permanent pacemaker. Which of the following images should the nurse expect?
Correct Answer: D
Rationale: A pacemaker produces spikes followed by a QRS complex on an ECG, indicating ventricular contraction. Regular sinus rhythm, chaotic rhythm, or absent electrical activity are not expected.
Question 2 of 5
A nurse in a provider's office is caring for a client who has total vision loss and is the handler of a service dog. Which of the following actions should the nurse take to show consideration for the client and the service animal?
Correct Answer: B
Rationale: Consulting the client before approaching the service dog respects the dog's role and the client's preferences, preventing distraction. Petting, offering water, or commanding the dog can interfere with its duties.
Question 3 of 5
A nurse is reviewing a cardiac rhythm strip of a client who has atrial flutter. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Atrial flutter shows a saw-tooth pattern with an atrial rate of 250-400/min on ECG. Longer PR durations, undetectable P waves, and absent PR intervals indicate other arrhythmias.
Question 4 of 5
A nurse is assessing a client who is receiving furosemide to treat pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?
Correct Answer: C
Rationale: Weight loss of 0.8 kg in 24 hours indicates effective fluid removal by furosemide, reducing pulmonary edema. Adventitious sounds, elevated blood pressure, and a respiratory rate of 24/min do not confirm effectiveness.
Question 5 of 5
A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory results should the nurse monitor to determine long-term glycemic control?
Correct Answer: B
Rationale: Glycosylated hemoglobin (HbA1c) reflects average blood glucose over 2-3 months, ideal for long-term control. Fasting, oral glucose tolerance, and postprandial tests assess short-term control.