ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Question 1 of 5
The nurse is caring for a client diagnosed with Raynaud's phenomena. The nurse will prioritize educating the client about implementing which intervention?
Correct Answer: A
Rationale: Avoiding cold exposure is critical because cold can trigger vasospasms of small arteries in the fingers and toes, leading to pain, pallor, cyanosis, and numbness. Stress is a major trigger for Raynaud's episodes, loose warm gloves are recommended, and caffeine is a vasoconstrictor that can worsen symptoms.
Question 2 of 5
A nurse is caring for a client in a cardiac unit. Using the five criteria for ECG analysis information, the nurse interprets the client's ECG as which of the following rhythm interpretations?
Correct Answer: D
Rationale: A heart rate of 102 bpm indicates tachycardia. Regular rhythm, P waves present, PR interval 0.20 sec, and QRS 0.10 sec indicate normal sinus conduction, making it sinus tachycardia.
Question 3 of 5
A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wave. On the graphic, point and click on the area of the electrocardiogram (ECG) that represents the T wave.
Correct Answer: A
Rationale: The T wave, representing ventricular repolarization, is the prominent upward wave following the QRS complex. Hyperkalemia may cause tall, peaked T waves.
Question 4 of 5
A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see?
Correct Answer: C
Rationale: Metabolic acidosis is characterized by a pH below 7.35 and HCO3 below 22 mEq/L, reflecting acid accumulation or base loss. A indicates metabolic alkalosis, B respiratory acidosis, and D compensatory mechanisms.
Question 5 of 5
A nurse is prioritizing client care after receiving change-of-shift report. Which of the following clients should the nurse plan to see first?
Correct Answer: D
Rationale: Tachycardia in a pneumonia client may indicate sepsis or worsening respiratory status, requiring immediate assessment. A, B, and C are less urgent.