ATI RN
Medical Surgical Nursing Practice Questions Questions
Question 1 of 9
Mrs. Roberts communicates very well by lipreading. In planning Mrs. Roberts' care, it is important to
Correct Answer: D
Rationale: Clear visibility of the speaker's mouth is vital for effective lipreading, ensuring accurate communication.
Question 2 of 9
Identify the drug classes that have a different response in African Americans when compared with the usual response of whites of European descent.
Correct Answer: B
Rationale: Certain medications, including analgesics, antipsychotics, tricyclic antidepressants, and antihypertensive agents, exhibit varying efficacy and side effects in African Americans compared to Caucasians.
Question 3 of 9
7. According to Traditional Chinese Medicine, when does disease occur?
Correct Answer: A
Rationale: In Traditional Chinese Medicine, disease occurs when Yin and Yang become imbalanced, disrupting the flow of Qi, as described in option A.
Question 4 of 9
Mrs. Roberts communicates very well by lipreading. In planning Mrs. Roberts' care, it is important to
Correct Answer: D
Rationale: Clear visibility of the speaker's mouth is vital for effective lipreading, ensuring accurate communication.
Question 5 of 9
Signs of clotting and bleeding concurrently indicate
Correct Answer: C
Rationale: DIC involves both clotting and bleeding due to widespread activation of the coagulation system.
Question 6 of 9
A client presents with shortness of breath, pain in the lung area, and a recent history of starting birth control pills and smoking. Vital signs include a heart rate of 110/min, respiratory rate of 40/min, and blood pressure of 140/80 mm Hg. Arterial blood gases reveal pH 7.50, PaCO2 29 mm Hg, PaO2 60 mm Hg, HCO3 20 mEq/L, and SaO2 86%. What is the priority nursing intervention?
Correct Answer: B
Rationale: The correct answer is B: Administer oxygen via face mask. Given the client's symptoms and ABG results showing respiratory alkalosis and hypoxemia, the priority is to improve oxygenation. Administering oxygen via face mask will help increase the oxygenation levels and alleviate the hypoxemia. Mechanical ventilation (A) is not indicated as the client is able to maintain their own ventilation. Administering a sedative (C) is not appropriate without addressing the underlying respiratory issue. Assessing for pulmonary embolism (D) may be important but not the immediate priority in this case.
Question 7 of 9
A healthcare professional is caring for a client who has just developed a pulmonary embolism. Which of the following medications should the healthcare professional anticipate administering?
Correct Answer: C
Rationale: The correct answer is C: Heparin. Heparin is a common anticoagulant used to prevent further clotting in patients with pulmonary embolism. It works by inhibiting blood clot formation. Furosemide (A) is a diuretic used for conditions like heart failure and edema, not for pulmonary embolism. Dexamethasone (B) is a corticosteroid used for inflammation and immune suppression, not for pulmonary embolism. Atropine (D) is used to treat bradycardia and not indicated for pulmonary embolism. Administering heparin is crucial to prevent worsening of the pulmonary embolism and potential life-threatening complications.
Question 8 of 9
A 72-year-old female client is lifted to the surgery table in preparation for a total knee replacement. The client is in stage III of inhalation anesthesia. An appropriate nursing action for this client is:
Correct Answer: B
Rationale: Preventing injury by restraining the client, if necessary, is a nursing action of stage II, which extends from loss of consciousness to relaxation. Stage III extends from the loss of lid reflex to cessation of voluntary respirations. Operative procedures are performed during stage III of inhalation anesthesia. Promoting restoration of ventilation and vasomotor tone is a nursing action for stage IV in which an overdose has occurred. Respiratory arrest and vasomotor collapse result from medullary paralysis. Reduction of external stimuli is a nursing action for stage I, which extends from induction to loss of consciousness.
Question 9 of 9
What condition should the nurse anticipate that might occur during epidural and spinal anesthesia?
Correct Answer: B
Rationale: Epidural and spinal anesthesia commonly cause hypotension and bradycardia due to sympathetic blockade.