ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
History and Physical
History
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.
Question 1 of 5
A nurse is reviewing the client's diagnostic results and vital signs. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Chest tightness radiating to the arm suggests an acute coronary event, requiring catheterization, heparin, metoprolol, and NPO status.
Extract:
Question 2 of 5
A client who is deaf and communicates using sign language is being admitted by a nurse who does not know sign language. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: An interpreter ensures accurate communication during the admission process.
Question 3 of 5
A nurse is providing discharge teaching for a client who has heart failure and is to start therapy with digoxin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Muscle weakness is a sign of digoxin toxicity, requiring provider notification.
Question 4 of 5
A nurse is providing discharge teaching to a client who is recovering from a sickle cell crisis. Which of the following instructions should the include?
Correct Answer: D
Rationale: Extremes in temperature can trigger a sickle cell crisis.
Question 5 of 5
A nurse is planning to meet with the interprofessional team about the care of a client who has a new diagnosis of ulcerative colitis. Which of the following recommendations should the nurse plan to make during the meeting?
Correct Answer: D
Rationale: Ulcerative colitis is a chronic inflammatory bowel disease that requires dietary management to control symptoms and promote healing, making a referral to a dietitian appropriate.