ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is reviewing ECG rhythm strips for a group of clients. The nurse should identify that which of the following rhythms indicates bradycardia?
Correct Answer: C
Rationale: Sinus bradycardia shows a heart rate below 60/min with regular P waves before QRS complexes, as seen in strip C.
Question 2 of 5
A nurse is caring for a client who has an IV in the left forearm and whose infusion pump has alarmed several times. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Repositioning the arm addresses common infusion pump alarms caused by tubing occlusion from arm position, the most likely issue.
Question 3 of 5
A nurse is completing discharge teaching with a client who has a peripherally inserted central catheter (PICC) line in the left arm. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Using a 10-mL syringe prevents PICC line occlusion. Elevation is allowed, dressings are changed weekly or as needed, and chlorhexidine, not hydrogen peroxide, is used for cleaning.
Question 4 of 5
A nurse is reviewing laboratory results for four clients who are scheduled for surgery. Which of the following laboratory values should the nurse report to the surgeon?
Correct Answer: A
Rationale: A platelet count of 95,000/mm indicates thrombocytopenia, increasing bleeding risk during surgery, requiring immediate reporting. Other values are within normal ranges and do not pose immediate surgical risks.
Question 5 of 5
A nurse is preparing to assist the provider with a thoracentesis for a client who has a left pleural effusion. Which of the following interventions is the priority for the nurse?
Correct Answer: D
Rationale: Checking for local anesthetic allergies prevents severe reactions during thoracentesis, prioritizing client safety.