ATI RN
ATI Med Surg Final Exam Questions
Question 1 of 5
A nurse is caring for a client who has a new prescription for warfarin. The nurse should use the results of which of the following diagnostic tests to monitor the effect of this therapy?
Correct Answer: A
Rationale: Warfarin affects the extrinsic pathway of the coagulation cascade, and PT is the primary diagnostic test used to monitor its therapeutic effect. It measures the time it takes for blood to clot.
Question 2 of 5
The nurse is caring for a client on the third day following abdominal surgery and assesses the absence of bowel sounds, abdominal distention, and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications?
Correct Answer: B
Rationale: Absence of bowel sounds, abdominal distention, and no passage of flatus are characteristic signs of paralytic ileus, which is a temporary impairment of bowel motility following surgery.
Question 3 of 5
A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of the following laboratory values should the nurse review to determine the client's renal function?
Correct Answer: B
Rationale: Elevated levels of serum creatinine are indicative of impaired renal function. Creatinine is a waste product that is normally filtered by the kidneys.
Question 4 of 5
A nurse is caring for a client after a radical neck dissection. To which of the following should the nurse give priority in the immediate postoperative period?
Correct Answer: A
Rationale: Ineffective airway clearance is the priority as it addresses the immediate threat to the client's respiratory status, which can lead to airway obstruction and respiratory distress.
Question 5 of 5
A nurse is preparing a young adult client who has a hearing impairment for surgery. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Keeping hearing aids in place facilitates communication and maintains awareness, which is crucial for a client with a hearing impairment during preoperative preparations.