ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Question 1 of 5
The nurse is assessing a client diagnosed with peripheral arterial disease (PAD). The client reports leg pain and cramping after walking a few blocks, which is relieved when the client stops and rests. The nurse documents that the client is experiencing which clinical manifestation?
Correct Answer: D
Rationale: Intermittent claudication is pain/cramping with activity that resolves with rest, due to reduced blood flow in PAD. Neuropathy causes numbness/tingling, venous insufficiency causes swelling, and DVT causes unilateral pain/swelling.
Question 2 of 5
A client with pneumonia presents with wheezing on auscultation. The nurse would anticipate which medication to be ordered?
Correct Answer: C
Rationale: Albuterol and ipratropium are bronchodilators that relieve wheezing by relaxing airway muscles, appropriate for pneumonia-related bronchospasm. A is a diuretic, B is an expectorant, and D is a mucolytic, none of which address wheezing.
Question 3 of 5
A client who has recently traveled out of the United States comes to the emergency department with fatigue, lethargy, night sweats, and a low-grade fever. What is the nurse's first action?
Correct Answer: C
Rationale: Masking prevents potential TB transmission, a priority in infection control. A, B, and D follow after ensuring safety.
Question 4 of 5
The nursing assistant reports to the registered nurse (RN) that an older adult client who has been alert and oriented has become increasingly confused over the past 3 hours. What would be the best nursing action to perform next?
Correct Answer: A
Rationale: Hypoxia is a common cause of acute confusion in older adults, making oxygen saturation a priority assessment. B, C, and D are secondary to addressing potential hypoxia.
Extract:
Medication Administration Record
Vital Signs
1020:
Skin warm and dry. Awake. alert and oriented x3. Transferred to bed from chair. Sat up in chair x3 hours with legs dependent. Reports pain in legs as 4 on a scale of 0 to 10- Dilated veins noted on bilateral lower extremities. Pitting edema 3+ noted to bilateral lower extremities with hyperpigmentation of the skin. Pedal pulses palpable at 2+. Small ulcers noted on bilateral lower legs. Intermittent pneumatic compression pumps intact bilaterally.
A nurse is caring for a client who is experiencing peripheral venous disease.
Question 5 of 5
Which of the following interventions would the nurse include in the plan of care for this client? (Select all that apply)
Correct Answer: A,C,E
Rationale: Elevating legs reduces edema, smoking cessation improves vascular health, and compression stockings enhance venous return. Bed rest, high BMI, and prolonged sitting with legs dependent worsen venous disease.