ATI RN
ATI Med Surg 2 Questions
Extract:
Question 1 of 5
A nurse is performing a neurological assessment for a client who has head trauma. Which of the following assessments will give the nurse information about the function of cranial nerve III?
Correct Answer: B
Rationale: Instructing the client to look up and down assesses cranial nerve III (oculomotor), which controls eye movements.
Question 2 of 5
A nurse is assisting with obtaining an electrocardiogram (ECG) for a client who has atrial fibrillation. Which of the following actions should the nurse take?
Correct Answer: A,B
Rationale: Inspecting electrode pads and instructing the client not to talk ensure accurate ECG results.
Question 3 of 5
A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to time and place, diaphoretic, and his lips are cyanotic. The nurse should anticipate which of the following findings as an indication of hypovolemic shock?
Correct Answer: B
Rationale: Increased heart rate is a sign of hypovolemic shock as the body compensates for decreased blood volume.
Question 4 of 5
The nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion site. Which of the following pulses should the nurse palpate?
Correct Answer: D
Rationale: Palpating the brachial pulse in the right arm is the correct action. It is contralateral to the insertion site and unaffected by the procedure, providing a reliable assessment of the client's circulatory status post-cardiac catheterization.
Question 5 of 5
A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?
Correct Answer: D
Rationale: Metformin interacts with contrast material, increasing the risk of lactic acidosis and acute kidney injury.