ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Extract:
Question 1 of 5
A 36-year-old patient with suspected gastrointestinal (GI) bleeding undergoes a diagnostic endoscopy which determines the site of bleeding is a duodenal ulcer. The nurse explains to the patient that bleeding ulcers are commonly related to which of the following:
Correct Answer: D
Rationale: NSAIDs inhibit prostaglandin production, which protects the mucosal lining, leading to ulcer formation and bleeding risk.
Question 2 of 5
A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which of the following nursing actions should the nurse complete first?
Correct Answer: B
Rationale: Assessing pulse and respirations is the first step in ensuring the patient's baseline respiratory status is stable before performing respiratory therapies. This allows the nurse to detect any signs of distress or abnormal respiratory patterns, which could indicate the need for further intervention before the procedure.
Question 3 of 5
A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective?
Correct Answer: A
Rationale: A decrease in the white blood cell count toward normal levels indicates that the infection is responding to antibiotic treatment. A WBC count of 6000/μL is within the normal range for adults (usually 4,000€“11,000/μL), suggesting the body is no longer fighting a significant infection.
Question 4 of 5
A nurse is preparing to administer meperidine 35 mg IM to a client every 6 hr PRN for pain. Available is meperidine injection 75 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: B
Rationale: Volume (mL) = Desired dose (mg) / Concentration (mg/mL) = 35 mg / 75 mg/mL = 0.4 mL.
Question 5 of 5
A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?
Correct Answer: B
Rationale: Hematemesis indicates active bleeding, which is life-threatening and requires immediate intervention to prevent hypovolemic shock or other complications.