ATI RN
ATI Rn 46 Med Surg Exam Questions
Extract:
Question 1 of 5
Which action should the nurse include in a community health program to decrease the incidence of rheumatic fever?
Correct Answer: A
Rationale: Rheumatic fever is a complication of untreated streptococcal pharyngitis. Timely antibiotic treatment prevents its development. Prophylactic antibiotics are for secondary prevention, not broad community strategy. No streptococcal vaccine is widely available. Monitoring temperature is less effective than ensuring treatment.
Question 2 of 5
What effect does valvular regurgitation have on a patient?
Correct Answer: B
Rationale: Valvular regurgitation causes backward blood flow, leading to volume overload in the prior chamber. Fever, autoimmune reactions, and vessel narrowing are not direct effects.
Question 3 of 5
Which action should the nurse include in a community health program to decrease the incidence of rheumatic fever?
Correct Answer: A
Rationale: Rheumatic fever is a complication of untreated streptococcal pharyngitis. Timely antibiotic treatment prevents its development. Prophylactic antibiotics are for secondary prevention, not broad community strategy. No streptococcal vaccine is widely available. Monitoring temperature is less effective than ensuring treatment.
Extract:
History and Physical
0900:
History of present illness:
Client presents to the emergency department reporting acute onset of back pain that started this morning. Client reports pain as 8 on a scale of Oto 10. Client also reports feeling dizzy and weak.
Past medical history: Diabetes mellitus type 2, hypertension
Surgical history: Appendectomy at age 23 years
Family history:
Father: History of prostate cancer Mother: Died of "old age"
Social history: Smokes 1 pack of cigarette
Vital Signs
0900:
Blood pressure 136/84 mm Hg
Heart rate 111/min
Respiratory rate 20/min
Temperature 37° C (98.6" F)
0920:
Blood pressure 150/86 mm Hg
Heart rate 120/min
Respiratory rate 24/min
Temperature 37° C (98.6° F)
Provider Prescriptions
Metoprolol succinate ER 100 mg PO x 1 dose
Diagnostic results
0915:
CT scan of the abdomen and pelvis: 4 cm infrarenal abdominal aortic aneurysm (AAA) Hemoglobin 11 g/dL (14 to 18 g/dL)
Hematocrit 40% (42% to 52%)
Question 4 of 5
A nurse is caring for a client in the emergency department. Which of the following interventions should the nurse expect when planning care for this client? (Select All that Apply)
Correct Answer: B,C,E,F
Rationale: Analyzing CBC monitors for bleeding, preparing for surgery addresses symptomatic AAA, antihypertensives control rupture risk, and arterial line aids monitoring. Back pain monitoring, transfusion, and education are secondary in the acute phase.
Extract:
Question 5 of 5
A patient has been diagnosed with Group A Streptococcal pharyngitis. The nurse recognizes the need for antibiotic therapy to help prevent the development of which serious condition
Correct Answer: C
Rationale: Rheumatic fever is a serious complication of untreated streptococcal pharyngitis, preventable with antibiotics. Rheumatoid arthritis, nausea, vomiting, fatigue, and malaise are not directly related.