ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Question 1 of 5
The nurse is preparing to perform a tuberculin skin test using purified protein derivative (PPD). Which of the following interventions would be important for the nurse to include in the plan of care? (Select all that apply.)
Correct Answer: B,C,D
Rationale: B: BCG vaccine history is critical as it can cause false-positive results. C: Measuring induration, not redness, is key for accurate interpretation. D: The 48-72 hour return is necessary for proper evaluation of the skin reaction. A is incorrect as evaluation occurs at 48-72 hours, and E is incorrect as the needle angle should be 5-15 degrees with bevel up.
Question 2 of 5
A nurse is caring for a client who is postoperative hip arthroplasty and has a new prescription for enoxaparin 1mg/kg/dose subcutaneous every 12 hr. The client weighs 95 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: Convert pounds to kilograms: 95 lbs ÷ 2.2 lbs/kg = 43.18 kg. Calculate dose: 1 mg/kg × 43.18 kg = 43.18 mg, rounded to 43.2 mg. This ensures accurate dosing for anticoagulation post-surgery.
Question 3 of 5
A nurse is teaching a group of clients about risk factors for developing peripheral artery disease. Which of the following risk factors should the nurse include in the teaching?
Correct Answer: C
Rationale: A BMI of 35 (obesity) is a significant risk factor for peripheral artery disease (PA
D) because excess body weight contributes to atherosclerosis, hypertension, and diabetes—all of which impair circulation. Rheumatic fever primarily affects the heart valves and is not a risk factor for PAD. Venous thrombosis affects veins, whereas PAD is a disease of arteries. Chronic pulmonary disease affects the lungs but does not directly contribute to PAD development.
Question 4 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 5 of 5
Calculate the heart rate based on this rhythm strip.
Correct Answer: C
Rationale: Using the 6-second rule, count the number of QRS complexes in a 6-second strip and multiply by 10 to get 60 bpm.