ATI RN
ATI Med Surg Final Exam I Questions
Question 1 of 5
The nurse is caring for a patient who has a pelvic fracture and an external fixation device. How should the nurse perform assessment of pressure areas and provide skin care to the patient's back and sacrum?
Correct Answer: A
Rationale: Using a trapeze allows safe assessment of pressure areas without risking further injury in a patient with a pelvic fracture.
Question 2 of 5
After teaching a patient with chronic stable angina about nitroglycerin, the nurse recognizes the need for further teaching when the patient makes which statement?
Correct Answer: D
Rationale: The patient should call 911 after one dose if pain persists, not wait for three doses, indicating a need for further teaching.
Question 3 of 5
A nurse is caring for a client who is receiving heparin 3,800 units subcutaneous daily. Available is heparin 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)
Correct Answer: A
Rationale: Calculate: 3,800 units ÷ 5,000 units/mL = 0.76 mL, rounded to 0.8 mL.
Question 4 of 5
A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Checking for kinks is the first step to ensure no obstruction is preventing urine flow.
Question 5 of 5
A client diagnosed with type 1 diabetes is prescribed prednisone for acute exacerbation of inflammatory bowel disease. Which intervention should the nurse discuss with the client?
Correct Answer: A
Rationale: Prednisone can elevate blood glucose, necessitating more frequent monitoring in type 1 diabetes.