ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Question 1 of 5
Which action would the nurse take first for a patient with a tracheostomy who appears anxious and is having difficulty in coughing up thick respiratory secretion?
Correct Answer: D
Rationale: Suctioning the tracheostomy is the priority action. The patient is unable to clear thick secretions, and suctioning is necessary to remove the obstruction and improve airway patency, which will also alleviate anxiety and improve oxygenation.
Question 2 of 5
A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply)
Correct Answer: A,B,D,E
Rationale: Moon face, purple striations, hypertension, and buffalo hump are classic manifestations of Cushing's syndrome due to fat redistribution, skin thinning, fluid retention, and vasoconstriction. Tremors are not typically associated with this condition.
Question 3 of 5
A patient with osteoarthritis is scheduled for a total knee arthroplasty. The nurse identifies that the surgery will be postponed if the patient experiences which condition?
Correct Answer: C
Rationale: Infection is a critical factor that would delay surgery. If the patient has an active infection, particularly in the joint or surrounding tissues, the risk of spreading the infection during surgery is high, and the procedure would need to be postponed until the infection is resolved.
Question 4 of 5
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
Correct Answer: C
Rationale: Regular insulin is the preferred choice for treating diabetic ketoacidosis. It is a short-acting insulin that can be administered intravenously to rapidly lower blood glucose levels and correct the metabolic acidosis associated with DKA.
Question 5 of 5
A nurse is interpreting the ECG strip of a client who has bradycardia. Which of the following cardiac components should the nurse identify as the role of the P wave?
Correct Answer: A
Rationale: The P wave represents atrial depolarization. It is the electrical impulse that triggers the contraction of the atria. The P wave is the first wave in the ECG cycle and indicates the initiation of the heart's electrical activity from the sinoatrial (S
A) node.