ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Admission Assessment
Vital Signs
Laboratory results
1800:
A 24-year-old female client reports throbbing pain. swelling discoloration, and warmth in right calf for three days. Client also reports sudden shortness of breath. Denies anything makes it better or worse and denies any other symptoms. Client reports pain as 7 on numeric scale of O to 10.
Client reports only medication she takes is a combined hormonal oral contraceptive every day, started four months ago.
A nurse is assessing a 24-year-old female client.
Question 1 of 5
The client is exhibiting clinical manifestations of [Dropdown Group 1] and a [Dropdown Group 2].
Correct Answer: A,B
Rationale: The client's calf pain, swelling, warmth, and discoloration, along with oral contraceptive use, indicate deep venous thrombosis (DVT). Sudden shortness of breath, tachycardia, tachypnea, and elevated D-dimer suggest pulmonary embolism (PE).
Extract:
Question 2 of 5
A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?
Correct Answer: B
Rationale: Obstructive sleep apnea contributes to hypertension by causing repeated episodes of hypoxia, sympathetic nervous system activation, and increased vascular resistance. High potassium intake helps lower blood pressure, HDL of 70 mg/dL is protective, and benazepril treats hypertension, not causes it.
Question 3 of 5
A nurse in the emergency department is caring for a client who has an elevated temperature and reports fatigue and muscle aches. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: C,D,E
Rationale: C: Chest x-ray and sputum culture are key diagnostics for respiratory infections. D: Airborne isolation is a precaution for suspected tuberculosis. E: Supplemental oxygen addresses potential hypoxemia. A is premature without TB confirmation, B is not indicated without severe distress, and F is irrelevant for this scenario.
Question 4 of 5
A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to reduce the client's risk of aspiration pneumonia?
Correct Answer: B
Rationale: Elevating the head to 90° during meals aids safe swallowing, reducing aspiration risk. A increases distraction, C is insufficient, and D increases aspiration risk.
Question 5 of 5
A nurse is preparing to administer cefazolin IVPB over 20 min. Available is cefazolin 1 g in 100 mL of dextrose 5% in water (DSW). The drop factor of the manual IV tubing is 15gtt/mL. The nurse should set the IV infusion to deliver how many gtt/min? (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: Calculate: (100 mL ÷ 20 min) × 15 gtt/mL = 75 gtt/min. This ensures accurate delivery of the antibiotic over the prescribed time.