ATI RN
ATI Fundamentals Exam Special Unit ADN Questions
Extract:
Question 1 of 5
A nurse on the telemetry(cardiac unit) is caring for a client who has unstable angina and is reporting chest pain with a severity of 6 on a 0-10 pain scale. The nurse administers 1 nitroglycerin (sublingual). After 5 minutes, the client states that his chest pain is now a severity of 2. Which of the following actions Should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Obtain an ECG/EKG. The rationale is as follows: After administering nitroglycerin, the client's chest pain improved from a severity of 6 to 2, indicating a positive response. However, obtaining an ECG/EKG is crucial to assess for any potential changes in the client's cardiac status. It will help identify any new or ongoing cardiac issues, such as ST-segment changes or arrhythmias, which could be missed by solely relying on the pain scale. This diagnostic test is essential for monitoring the client's cardiac health and guiding further interventions.
Initiating a peripheral IV (
A) is not necessary at this moment as there is no indication for it based on the scenario. Administering another nitroglycerin tablet (
B) is not recommended without further assessment, as the client's pain has already improved. Calling the Rapid Response Team (
D) is not warranted as the client's condition has improved with the initial intervention.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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