ATI RN
ATI Detailed Answer Key Medical Surgical Questions
Question 1 of 5
The most important laboratory value to monitor in a patient with heavy bleeding due to fibroids is:
Correct Answer: A
Rationale: Hemoglobin levels are critical to assess the severity of blood loss and anemia in patients with heavy bleeding.
Question 2 of 5
What should a client with seasonal affective disorder be taught upon discharge?
Correct Answer: C
Rationale: Maximizing exposure to natural light helps alleviate symptoms of seasonal affective disorder.
Question 3 of 5
Patient teaching for risk reduction of skin cancer should include
Correct Answer: A
Rationale: Regular monitoring of moles and avoiding excessive sun exposure are vital for skin cancer prevention.
Question 4 of 5
A male client has returned to the Unit following a left femoral popliteal bypass graft. Six hours later, the client's dorsalis pedis pulse cannot be palpated and his foot is cool and dusky. The nurse should:
Correct Answer: B
Rationale: The client is losing the blood supply to his left foot. Continuing to monitor will not restore the blood supply to the foot. The physician should be notified immediately because the client is losing the blood supply to his left foot and is in danger of losing his foot and/or his leg. It is the responsibility of the nurse caring for the client to notify the physician, not the head nurse. This would be giving the client false assurances, which is unethical, demeaning, and could have legal consequences.
Question 5 of 5
A client in an emergency department has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer oxygen via nasal cannula. In a client with a sucking chest wound, the priority is to ensure adequate oxygenation due to potential respiratory compromise. Administering oxygen via nasal cannula will help improve oxygenation and support the client's respiratory function. This action takes precedence over other interventions as hypoxia can lead to further deterioration. A: Raising the foot of the bed to a 90° angle is not indicated in this situation as it does not address the immediate need for oxygenation. B: Removing the dressing to inspect the wound can worsen the condition by disrupting any seals in place to prevent air from entering the chest cavity. C: Preparing to insert a central line is not the priority in this situation as the client's respiratory status needs to be stabilized first.