ATI RN
ATI Med Surg 2 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer dabigatran to a client who has atrial fibrillation. The nurse should explain that the purpose of this medication is which of the following?
Correct Answer: C
Rationale: This is correct because dabigatran reduces the risk of stroke in clients with atrial fibrillation by preventing clot formation and reducing blood viscosity.
Question 2 of 5
A nurse is caring for a client who has a serum potassium level of 5.5 mEq/L. The provider prescribes polystyrene sulfonate. If this medication is effective, the nurse should expect which of the following changes on the client's ECG?
Correct Answer: C
Rationale: This is correct because a reduction of T-wave amplitude is a sign of hyperkalemia reversal. Polystyrene sulfonate lowers serum potassium, reversing ECG changes like peaked T waves.
Question 3 of 5
A nurse in an emergency department is caring for a client who is bleeding profusely from a deep laceration on his left lower forearm. After observing standard precautions, which of the following actions should the nurse perform first?
Correct Answer: C
Rationale: This is correct because applying direct pressure over the wound is the first and most effective action to stop bleeding, compressing blood vessels to prevent further blood loss.
Question 4 of 5
A nurse is caring for a client who has hypertension and develops epistaxis. Which of the following actions should the nurse take?
Correct Answer: A,C,E
Rationale: Correct actions include placing ice to cause vasoconstriction, moving to high-Fowler's to lower head/neck blood pressure, and applying pressure to compress the bleeding site.
Question 5 of 5
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?
Correct Answer: D
Rationale: This is correct because these values indicate metabolic acidosis, a common complication of chronic kidney disease due to impaired acid excretion and bicarbonate retention.