ATI RN
Medical Surgical Nursing Practice Questions Questions
Question 1 of 9
What stage of shock is the client experiencing if they exhibit confusion, lethargy, and decreased urine production?
Correct Answer: C
Rationale: These symptoms indicate decompensation, where the body can no longer compensate for inadequate perfusion.
Question 2 of 9
A patient with chronic cancer-related pain has started using MS Contin for pain control and has developed common side effects of the drug. The nurse reassures the patient that tolerance will develop to most of these side effects but that continued treatment will most likely be required for what?
Correct Answer: B
Rationale: The correct answer is B. Constipation is a persistent side effect of opioids.
Question 3 of 9
In a client receiving opiate therapy, which of the following should the nurse closely monitor for in order to minimize the risk for imbalanced nutrition?
Correct Answer: B
Rationale: The correct answer is B because opiates commonly cause gastrointestinal side effects such as nausea and anorexia, which can lead to nutritional imbalances.
Question 4 of 9
What is the primary goal of treating diabetic retinopathy?
Correct Answer: A
Rationale: Early treatment aims to prevent further vision loss in diabetic retinopathy.
Question 5 of 9
Which type of shock has the highest mortality rate?
Correct Answer: D
Rationale: Septic shock has a high mortality rate due to systemic inflammation and multiorgan dysfunction.
Question 6 of 9
When prioritizing client care after receiving change-of-shift report, which of the following clients should the nurse plan to see first?
Correct Answer: D
Rationale: The correct answer is D because a client who is experiencing shortness of breath may be in a critical condition requiring immediate intervention to prevent respiratory distress or failure. This is a high-priority issue that needs prompt assessment and intervention to ensure the client's safety. A: A client awaiting transport for an abdominal x-ray is not in an immediate life-threatening situation. B: A client with a prescription for discharge can typically wait as the discharge process can be coordinated by other healthcare team members. C: A client who received oral pain medication 30 minutes ago is not experiencing an urgent or life-threatening situation, as the medication may take time to alleviate pain.
Question 7 of 9
The nurse recognizes what as the most likely major determinant of this patient’s health?
Correct Answer: B
Rationale: Smoking is one of the leading causes of lung cancer. While genetics (C) and race (A) may play a role, smoking remains the primary risk factor for developing lung cancer.
Question 8 of 9
Which of the following tasks is most appropriate to delegate to the nursing assistant?
Correct Answer: C
Rationale: Postmortem care involves basic hygiene and positioning, which can be performed by a nursing assistant.
Question 9 of 9
A nurse in the PACU is assessing a client who has an endotracheal tube (ET) in place and observes the absence of left-sided chest wall expansion upon respiration. Which of the following complications should the nurse suspect?
Correct Answer: C
Rationale: The correct answer is C: Movement of the ET tube into the right main bronchus. When the nurse observes absence of left-sided chest wall expansion, it indicates that the ET tube may have moved into the right main bronchus. This can lead to inadequate ventilation of the left lung, causing unilateral chest wall expansion. The other choices are incorrect because: A) Blockage by the tongue would not result in unilateral chest wall expansion. B) Passage into the esophagus would lead to improper ventilation but not specifically affect one side of the chest. D) Infection of the vocal cords would not directly cause unilateral chest wall expansion.