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 nurse is caring for a client who has left-sided heart failure. Which of the following findings should indicate to the nurse that the client is experiencing a decrease in cardiac output?
Correct Answer: D
Rationale: Dyspnea indicates decreased cardiac output due to pulmonary congestion in left-sided heart failure.
Question 3 of 5
A nurse is caring for a client who has an arterial line inserted in the radial artery. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Maintaining the pressure bag at 300 mm Hg ensures a slow flush to prevent clotting, keeping the arterial line patent. A. High-volume infusion risks fluid overload. B. Bearing down distorts readings. D. Transducer alignment at the phlebostatic axis, not radial artery, ensures accuracy.
Question 4 of 5
A nurse is planning care for a client who has Clostridium difficile gastroenteritis. Which of the following is an appropriate nursing action?
Correct Answer: C
Rationale: Gloves are required to obtain a stool specimen to prevent C. difficile transmission.
Question 5 of 5
A nurse is providing discharge teaching to a client who reports that they cannot afford their prescribed medication. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: A social worker can assist with financial resources for medication affordability.