ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A nurse is monitoring the cardiac output of a client who has left-sided heart failure using pulse pressure analysis. Which of the following findings can compromise the readings?
Correct Answer: A
Rationale: Premature atrial contractions can interfere with pulse pressure analysis and affect the accuracy of cardiac output measurements.
Question 2 of 5
A nurse in an emergency department is caring for a client who reports substernal chest pain and dyspnea. The client is vomiting and is diaphoretic. Which of the following laboratory tests are used to diagnose a myocardial infarction? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Myoglobin is an early biomarker for myocardial injury and can be used for initial detection of myocardial infarction. Troponin T and Troponin I are highly specific biomarkers for myocardial infarction and are used to confirm the diagnosis of an MI.
Question 3 of 5
A nurse is reviewing the laboratory values of a client who is at risk for disseminated intravascular coagulopathy (DIC). Which of the following values should the nurse report to the provider?
Correct Answer: B
Rationale: A fibrinogen level of 85 mg/dL is low. In DIC, fibrinogen levels decrease due to increased clotting and subsequent consumption of clotting factors.
Question 4 of 5
A nurse is caring for a client who is postoperative following an open reduction and internal fixation of a fractured femur. Which of the following actions is the most important for the nurse to complete in the postoperative period?
Correct Answer: B
Rationale: Performing neurovascular checks of the extremities is the most important action to identify complications such as compartment syndrome or impaired circulation.
Question 5 of 5
A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed-head injury. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Using log rolling to reposition the client helps to maintain spinal alignment and prevent increases in ICP.