ATI RN
ATI Med Surg Nursing 200 Exam Questions
Extract:
Question 1 of 5
The nurse auscultates a systolic murmur in the second intercostal space to the right of the sternum while performing a cardiac assessment on a client. The nurse interprets this finding as:
Correct Answer: D
Rationale: A systolic murmur in this location suggests aortic valve issues, indicating valve distortion, not occlusion, aneurysm, or pericardial fluid changes.
Question 2 of 5
When developing a plan of care for the client diagnosed with iron-deficiency anemia, the nurse would encourage intake of which foods?
Correct Answer: D
Rationale: Spinach is rich in iron, aiding hemoglobin production in iron-deficiency anemia, unlike the other options.
Question 3 of 5
A client with alcoholism is admitted to a medical-surgical unit with a serum magnesium level of 0.9 mEq/L. Which clinical manifestations would the nurse expect to find in this client?
Correct Answer: A
Rationale: Hypomagnesemia (0.9 mEq/L) causes neuromuscular hyperexcitability, leading to tremors and twitching, common in alcoholism.
Question 4 of 5
The nurse, who is assessing a client with peripheral vascular disease, notes that the client has no hair on the legs and has thick toenails. Which statement describes the cause of this finding?
Correct Answer: C
Rationale: Peripheral vascular disease reduces blood flow, leading to tissue ischemia, which causes hair loss and nail changes due to decreased oxygen delivery.
Question 5 of 5
During an admission assessment of a client, the nurse palpates enlarged axillary lymph nodes. Which question should the nurse ask the client related to this finding?
Correct Answer: B
Rationale: Enlarged lymph nodes often result from recent infections, as lymph nodes swell to fight pathogens, making this the most relevant question.