ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Vital Signs
Diagnostic Results
Medical History
0905:
Temperature: 37°C (98.6°F)
Blood pressure: 172/98 mmHg
Heart rate: 120/min
Respiratory rate: 18/min
Oxygen saturation: 88%
Question 1 of 5
Complete the diagram by specifying: The condition the client is most likely experiencing, two actions the nurse should take, two parameters the nurse should monitor.
| Myocardial infarction |
| Chronic stable angina |
| Ischemic stroke |
| Cardiogenic shock |
| Actions to Take Choices A. Administer oxygen via nasal cannula 2 L/min. B. Administer transdermal nitroglycerin. C. Request a prescription for aspirin 325 mg. D. Request a prescription for morphine 6 mg IV bolus. E. Request a prescription for verapamil 100 mg. |
| Parameters to Monitor Choices A. Vital signs. B. WBC count. C. Electrocardiogram (ECG) rhythm. D. Platelet count. |
Correct Answer: A,E,F,G
Rationale: Elevated troponin and ST elevation indicate myocardial infarction . Administer oxygen and request aspirin to improve oxygenation and prevent clot formation. Monitor vital signs and ECG rhythm for stability and ischemia.
Extract:
Question 2 of 5
A patient is receiving 3% NaCl solution for correction of hyponatremia. For which of the following will the nurse assess?
Correct Answer: C
Rationale: Hypertonic saline (3% NaCl) poses a risk of fluid overload, requiring monitoring for edema and pulmonary congestion.
Question 3 of 5
A 36-year-old patient with suspected gastrointestinal (GI) bleeding undergoes a diagnostic endoscopy which determines the site of bleeding is a duodenal ulcer. What is the most likely cause of a duodenal ulcer?
Correct Answer: D
Rationale: Helicobacter pylori infection is the most common cause of duodenal ulcers, damaging the protective lining of the duodenum. Stress, NSAIDs, and alcohol can contribute but are less likely primary causes.
Question 4 of 5
A nurse is caring for a patient with long history of chronic obstructive pulmonary disease (COPD) who develops cor pulmonale. The nurse should monitor the patient for which expected finding if heart failure is present?
Correct Answer: B
Rationale: Peripheral edema is a common sign of heart failure in cor pulmonale due to venous pressure buildup.
Question 5 of 5
A nurse is preparing to administer digoxin 1.5 mg PO to a client. The amount available is digoxin 0.5 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To determine the number of tablets, divide the prescribed dose by the dose per tablet: 1.5 mg ÷ 0.5 mg/tablet = 3 tablets. The answer is a whole number, so no rounding is needed.