ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
Which outcome is appropriate for the client problem of 'ineffective gas exchange' for the client diagnosed with chronic obstructive pulmonary disease (COPD)?
Correct Answer: D
Rationale: Improved oxygen saturation is a direct outcome of effective gas exchange in COPD.
Question 2 of 5
Which assessment finding should the nurse expect to observe when evaluating the effectiveness of Buck's traction for a patient who has an intracapsular fracture of the right femur?
Correct Answer: D
Rationale: A decrease in hip pain indicates Buck's traction is effective in stabilizing the fracture and reducing discomfort.
Question 3 of 5
The nurse is caring for a client diagnosed with a myocardial infarction (MI) who is reporting severe chest pain. Which interventions should the nurse implement? (Select all that apply.)
Correct Answer: D,E
Rationale: Aspirin inhibits platelet aggregation, reducing clot formation, and oxygen improves myocardial oxygenation. Supine positioning, intramuscular morphine, and subcutaneous nitroglycerin are not appropriate.
Extract:
Vital Signs
Diagnostic Results
Medical History
0905:
Temperature: 37°C (98.6°F)
Blood pressure: 172/98 mmHg
Heart rate: 120/min
Respiratory rate: 18/min
Oxygen saturation: 88%
Question 4 of 5
Complete the diagram by specifying: The condition the client is most likely experiencing, two actions the nurse should take, two parameters the nurse should monitor.
| Myocardial infarction |
| Chronic stable angina |
| Ischemic stroke |
| Cardiogenic shock |
| Actions to Take Choices A. Administer oxygen via nasal cannula 2 L/min. B. Administer transdermal nitroglycerin. C. Request a prescription for aspirin 325 mg. D. Request a prescription for morphine 6 mg IV bolus. E. Request a prescription for verapamil 100 mg. |
| Parameters to Monitor Choices A. Vital signs. B. WBC count. C. Electrocardiogram (ECG) rhythm. D. Platelet count. |
Correct Answer: A,E,F,G
Rationale: Elevated troponin and ST elevation indicate myocardial infarction . Administer oxygen and request aspirin to improve oxygenation and prevent clot formation. Monitor vital signs and ECG rhythm for stability and ischemia.
Extract:
Question 5 of 5
Which of the following clinical manifestations would make the nurse suspect the client is experiencing a myocardial infarction (MI)?
Correct Answer: B
Rationale: Radiating pain to the left arm is a classic symptom of myocardial infarction due to referred pain from the heart.