ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing discharge instructions with a client who has Raynaud's disease. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: Nicotine constricts blood vessels and can exacerbate Raynaud's disease.
Therefore, quitting smoking is a crucial step in managing the condition. Using nicotine gum as part of a plan to quit smoking is an appropriate action.
Extract:
Nurses' notes
Client admitted with chest pain. Client is diaphoretic and short of breath. Client states. "Pain started when I began raking leaves in my yard. Pain "radiates to left arm and is a sharp pain." Cardiac enzymes indicate client is experiencing myocardial infarction. Provider notified and to prepare client for cardiac catheterization Immediately
A nurse is admitting a client who reports chest pain.
Question 2 of 5
The nurse is preparing the client for the cardiac catheterization. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Obtaining vital signs, witnessing the informed consent, and confirming allergies are necessary to monitor cardiovascular status, ensure consent, and prevent allergic reactions. Informing about risks is the provider's role, and marking the site is not required for cardiac catheterization.
Extract:
Question 3 of 5
A nurse in the emergency department is caring for a client who is experiencing manifestations of a myocardial infarction (MI). Which of the following laboratory tests should the nurse expect the provider to prescribe?
Correct Answer: B
Rationale: Troponin is the gold standard laboratory test for diagnosing myocardial infarction. It is a protein released from damaged heart muscle cells, and elevated levels indicate myocardial injury. Troponin levels are highly specific to cardiac tissue and remain elevated for several days after an MI.
Question 4 of 5
A nurse is caring for a client who has an acute ankle sprain. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Elevating the ankle, applying a compression bandage, and encouraging rest are appropriate actions for an acute ankle sprain to reduce swelling, support the injury, and promote healing. Passive range-of-motion exercises and applying heat can exacerbate the injury in the acute phase.
Question 5 of 5
A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Warfarin takes several days to reach a therapeutic effect, so heparin is continued initially to provide immediate anticoagulation until the warfarin becomes effective.