ATI RN
ATI Nur201 FA2 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
During an emergency code situation, a primary healthcare provider about to defibrillate a client diagnosed with ventricular fibrillation says in a loud voice, 'CLEAR!' Which action should the nurse implement immediately?
Correct Answer: B
Rationale:
Stepping away from the bed and ensuring others have done the same prevents accidental electrical shock during defibrillation.
Question 2 of 5
The night nurse in the cardiac ICU has just received a report on several patients. Which of the following clients should the nurse prioritize for rounds?
Correct Answer: A
Rationale: A patient with a new-onset of confusion and restlessness is a priority because these symptoms could indicate a serious condition such as hypoxia, electrolyte imbalance, or a neurological event like a stroke. These changes in mental status need to be evaluated immediately to prevent further complications.
Question 3 of 5
A nurse is caring for an older adult client whose wife passed away a month ago with cardiac issues and is currently being treated for similar cardiac issues. He is tearful and states, 'How could you possibly understand what I am going through?' Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: This empathetic response validates the client's feelings and encourages them to share more, fostering trust and emotional support.
Question 4 of 5
A nurse is caring for an older adult client who states, 'I am afraid that I may fall while walking to the bathroom during the night.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Obtaining a bedside commode allows the client to void safely without walking to the bathroom, reducing the risk of falls.
Question 5 of 5
A client with myxedema reports experiencing fatigue, cold intolerance, and swelling around the eyes and face. The nurse plans care, understanding that these clinical manifestations are caused by a lack of or diminished production of which hormones? (Select all that apply)
Correct Answer: C,D
Rationale: Myxedema results from a deficiency in thyroid hormones (T4 and T3), causing symptoms like fatigue, cold intolerance, and swelling.