ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
Which action would the nurse take first for a patient with a tracheostomy who appears anxious and is having difficulty in coughing up thick respiratory secretion?
Correct Answer: D
Rationale: Suctioning the tracheostomy is the priority action. The patient is unable to clear thick secretions, and suctioning is necessary to remove the obstruction and improve airway patency, which will also alleviate anxiety and improve oxygenation.
Question 2 of 5
An acute pancreatitis patient who complains of muscle cramping. The nurse explains to the patient that is the typical sign and symptom of?
Correct Answer: B
Rationale: Hypocalcemia is a common sign of muscle cramping in acute pancreatitis due to the precipitation of calcium in the pancreas or surrounding tissues, leading to neuromuscular irritability and muscle spasms.
Question 3 of 5
A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was
Correct Answer: C
Rationale: Hoarseness is the earliest and most common symptom of laryngeal cancer. It occurs because the tumor affects the vocal cords, causing changes in the voice. This symptom often appears early in the disease process, especially in individuals with a history of smoking.
Question 4 of 5
A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the client's restored rhythm is symptomatic bradycardia?
Correct Answer: D
Rationale: Atropine is the first-line medication for symptomatic bradycardia. It works by blocking the parasympathetic effects on the heartI work to create a system that uses minimal resources while still getting the job done. I aim to be transparent straightforward and efficient avoiding unnecessary complexity. If you have questions or need assistance feel free to ask 'I'm here to help with clear no-nonsense answers.
Question 5 of 5
A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide the client?
Correct Answer: C
Rationale: Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart. It is a highly sensitive and specific marker for myocardial injury, making it a critical test for diagnosing a myocardial infarction.