ATI RN
ATI Med Surg Final Exam I Questions
Question 1 of 5
A client with diabetic ketoacidosis (DKA) is exhibiting rapid, deep respirations. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Administering IV fluids is the priority in DKA to correct dehydration and improve perfusion, addressing Kussmaul respirations.
Question 2 of 5
A 24-year-old female client comes to the ambulatory care center in moderate distress with a probable diagnosis of acute cystitis. Which symptom should the nurse expect the client to report during the assessment?
Correct Answer: B
Rationale: Dysuria, or painful urination, is a hallmark symptom of acute cystitis due to bladder and urethral inflammation.
Question 3 of 5
A nurse is observing the closed chest drainage system of a client who is 24 hours post thoracotomy. The nurse notes fluctuation in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Fluctuations in the suction control chamber are normal and indicate a functioning system, so monitoring is appropriate.
Question 4 of 5
A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following laboratory values should the nurse review before administering furosemide?
Correct Answer: B
Rationale: Potassium levels must be reviewed before administering furosemide, a diuretic that can cause hypokalemia, risking cardiac arrhythmias.
Question 5 of 5
A patient with chronic obstructive pulmonary disease (COPD) is being discharged home with a new prescription for an inhaled bronchodilator. Which instruction should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: Using the inhaler before physical activity prevents exercise-induced bronchospasm, a common issue in COPD. Skipping doses, using only during severe symptoms, or doubling the dose can lead to poor disease control or adverse effects.