ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Question 1 of 5
A nurse is prioritizing client care after receiving change-of-shift report. Which of the following clients should the nurse plan to see first?
Correct Answer: D
Rationale: Tachycardia in a pneumonia client may indicate sepsis or worsening respiratory status, requiring immediate assessment. A, B, and C are less urgent.
Question 2 of 5
The nurse is preparing to perform a tuberculin skin test using purified protein derivative (PPD). Which of the following interventions would be important for the nurse to include in the plan of care? (Select all that apply.)
Correct Answer: B,C,D
Rationale: B: BCG vaccine history is critical as it can cause false-positive results. C: Measuring induration, not redness, is key for accurate interpretation. D: The 48-72 hour return is necessary for proper evaluation of the skin reaction. A is incorrect as evaluation occurs at 48-72 hours, and E is incorrect as the needle angle should be 5-15 degrees with bevel up.
Question 3 of 5
The nurse is assessing a client diagnosed with peripheral arterial disease (PAD). The client reports leg pain and cramping after walking a few blocks, which is relieved when the client stops and rests. The nurse documents that the client is experiencing which clinical manifestation?
Correct Answer: D
Rationale: Intermittent claudication is pain/cramping with activity that resolves with rest, due to reduced blood flow in PAD. Neuropathy causes numbness/tingling, venous insufficiency causes swelling, and DVT causes unilateral pain/swelling.
Question 4 of 5
A client who has recently traveled out of the United States comes to the emergency department with fatigue, lethargy, night sweats, and a low-grade fever. What is the nurse's first action?
Correct Answer: C
Rationale: Masking prevents potential TB transmission, a priority in infection control. A, B, and D follow after ensuring safety.
Question 5 of 5
A nurse is caring for a client who has pneumonia and a prescription for oxygen therapy at 5 L/min via nasal cannula. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A humidifier prevents nasal dryness from prolonged oxygen use. A is unsafe due to flammability risks, B disrupts oxygen delivery, and C is incorrect as the cannula is nasal, not oral.