ATI RN
ATI Med Surg Quiz 1 Questions
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 1 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.
Extract:
Question 2 of 5
The nurse is checking a coworker's tuberculosis (TB) skin test. The forearm has a raised red area about 12 mm in diameter after 72 hours. What is the best interpretation of this skin test?
Correct Answer: A
Rationale: A 12 mm induration after 72 hours indicates TB exposure, a positive result. B requires further testing, C is unlikely, and D is incorrect as the reaction is positive.
Question 3 of 5
A nurse is assessing client with advanced peripheral arterial disease (PAD). Which of the following findings would the nurse expect?
Correct Answer: A
Rationale: PAD reduces blood flow, causing shiny, hairless skin due to chronic ischemia. Thickened toenails, cool extremities, and diminished or absent pulses are expected, not thin toenails, warm extremities, or normal 3+ pulses.
Extract:
Admission Assessment
Vital Signs
Laboratory results
1800:
A 24-year-old female client reports throbbing pain. swelling discoloration, and warmth in right calf for three days. Client also reports sudden shortness of breath. Denies anything makes it better or worse and denies any other symptoms. Client reports pain as 7 on numeric scale of O to 10.
Client reports only medication she takes is a combined hormonal oral contraceptive every day, started four months ago.
A nurse is assessing a 24-year-old female client.
Question 4 of 5
The client is exhibiting clinical manifestations of [Dropdown Group 1] and a [Dropdown Group 2].
Correct Answer: A,B
Rationale: The client's calf pain, swelling, warmth, and discoloration, along with oral contraceptive use, indicate deep venous thrombosis (DVT). Sudden shortness of breath, tachycardia, tachypnea, and elevated D-dimer suggest pulmonary embolism (PE).
Extract:
Question 5 of 5
The nurse is caring for a client who is receiving isoniazid and rifampin. Which of the following statements by the client would need further follow up?
Correct Answer: D
Rationale: Yellow skin suggests jaundice, a sign of hepatotoxicity from isoniazid or rifampin, requiring immediate follow-up. A is expected with rifampin, B is positive, and C is less urgent if improving.