ATI RN
ATI Medical Surgical Nursing Final Exam Questions
Extract:
Question 1 of 5
A 40-year-old patient is admitted with sharp, pleuritic chest pain and dyspnea. The nurse observes jugular venous distension and muffled heart sounds on examination. What is the most appropriate initial nursing action for this patient?
Correct Answer: B
Rationale: Administering oxygen is the most appropriate initial action to address potential life-threatening conditions like cardiac tamponade or pulmonary embolism.
Question 2 of 5
A nurse is caring for a patient receiving continuous enteral feeding through a nasogastric tube. During the assessment, the nurse discovers that the patient is experiencing diarrhea. Which of the following actions should the nurse take to address this complication?
Correct Answer: D
Rationale: Decreasing the feeding rate and using a fiber-enriched formula helps manage diarrhea in enteral feeding.
Question 3 of 5
A nurse is planning care for a client who has multiple sclerosis and is receiving methylprednisolone. Which of the following adverse effects should the nurse anticipate? (Select All that Apply.)
Correct Answer: A,C.E
Rationale: Hirsutism, hyperglycemia, and delayed wound healing are common side effects of corticosteroids like methylprednisolone.
Question 4 of 5
A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Placing the client on seizure precautions is appropriate, as severe metabolic alkalosis can cause neurologic complications such as seizures.
Question 5 of 5
A nurse is assessing a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?
Correct Answer: D
Rationale: Muscle weakness is a classic sign of hypokalemia because potassium is essential for proper muscle function, and low levels can impair contraction.