ATI RN
ATI Med Surg exam 2 III Questions
Extract:
Question 1 of 5
A nurse is teaching a newly licensed nurse about evaluating a cardiac rhythm. Which of the following options should the nurse identify as the P wave in the ECG complex?
Correct Answer: A
Rationale: The first upward deflection in an ECG represents the P wave, indicating atrial depolarization. It precedes the QRS complex and corresponds to the electrical activity associated with atrial contraction, initiating the cardiac cycle.
Extract:
Medical History
Nurses Notes
Diagnostic Results
Client admitted with a report of pain between shoulder blades and frequent indigestion. States pain comes and goes, with activity exacerbating the pain. Past medical history includes hypertension, metabolic syndrome, and diabetes mellitus. Past surgical history includes wound debridement of the heel 18 months ago. Current medications: Metoprolol 50 mg PO BID, metformin 500 mg PO BID, atorvastatin 20 mg PO daily.
Question 2 of 5
The nurse has completed the client's admission history. The client is most likely suffering from [Dropdown Group 1] as evidenced by the client's [Dropdown Group 2].
| Myocardial infarction |
| Aortic dissection |
| Gastroesophageal reflux disease (GERD) |
| Musculoskeletal strain |
| Elevated troponin levels and ST-segment elevation on ECG |
| Severe pain between shoulder blades and history of hypertension |
| Heartburn and regurgitation after meals |
Correct Answer: C,F
Rationale: Gastroesophageal reflux disease (GER
D) is likely due to the client's report of pain between the shoulder blades, exacerbated by activity, and a history of hypertension, which aligns with GERD symptoms.
Extract:
Question 3 of 5
A nurse is providing discharge teaching to a client who has peripheral arterial disease (PAD). Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: A warm environment helps to prevent vasoconstriction. Cold temperatures can cause the arteries to constrict, reducing blood flow to the extremities. A consistent warm environment supports improved blood circulation.
Question 4 of 5
A nurse is teaching a newly licensed nurse about evaluating a cardiac rhythm. Which of the following options should the nurse identify as the P wave in the ECG complex?
Correct Answer: A
Rationale: The first upward deflection in an ECG represents the P wave, indicating atrial depolarization. It precedes the QRS complex and corresponds to the electrical activity associated with atrial contraction, initiating the cardiac cycle.
Question 5 of 5
A nurse on a medical-surgical unit is caring for a client who reports pain in the jaw, back, and shoulder, shortness of breath, and nausea. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Obtaining an EKG is crucial for diagnosing myocardial infarction by assessing electrical activity of the heart. It helps identify ischemia or infarction. Early detection of abnormalities ensures prompt treatment and reduces complications.