Questions 96

ATI RN

ATI RN Test Bank

ATI Adult Medical Surgical 2019 Questions

Extract:


Question 1 of 5

A nurse is planning care for a client who has status epilepticus. Which of the following interventions is the nurse's priority to include?

Correct Answer: B

Rationale: Administering diazepam IV is the priority to stop seizure activity in status epilepticus. Phenytoin, oxygen, and lateral positioning are important but secondary.

Question 2 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 3 of 5

A nurse is caring for a female client who has toxic shock syndrome. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale:
Toxic shock syndrome (TSS) is a life-threatening condition caused by bacterial toxins. A generalized rash resembling a sunburn is a hallmark symptom of TSS, often accompanied by high fever, hypotension, and other systemic symptoms. Elevated platelet count, decreased total bilirubin, and hypertension are not typical findings in TSS.

Question 4 of 5

A nurse is planning care for a client who has a central venous access device for intermittent infusions. Which of the following actions should the nurse include in the plan of care?

Correct Answer: A

Rationale: Using aseptic technique during dressing changes prevents infection. Povidone-iodine is not always recommended, a 10-mL syringe may be too large, and daily dressing changes are not always needed.

Question 5 of 5

A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?

Correct Answer: B

Rationale: Fever, night sweats, and cough suggest a possible infectious disease like tuberculosis, requiring a private room to prevent spread. DKA, fractures, and aspiration pneumonia do not necessitate isolation.

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