ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A 50-year-old male patient with a history of chronic alcoholism presents with fatigue, glossitis, and peripheral neuropathy. Laboratory findings show a hemoglobin level of 9.0 g/dL and mean corpuscular volume (MCV) of 110 fL. What type of anemia is most likely in this patient?
Correct Answer: B
Rationale: Vitamin B12 deficiency anemia, caused by malabsorption in chronic alcoholism, presents with macrocytic anemia, glossitis, and neuropathy.
Question 2 of 5
A nurse is preparing to administer digoxin 1.5 mg PO to a client. The amount available is digoxin 0.5 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To determine the number of tablets, divide the prescribed dose by the dose per tablet: 1.5 mg ÷ 0.5 mg/tablet = 3 tablets. The answer is a whole number, so no rounding is needed.
Question 3 of 5
A patient is admitted to the respiratory unit with flail chest. Which answer best describes this diagnosis?
Correct Answer: C
Rationale: Flail chest is defined by multiple rib fractures creating a detached chest wall segment, impairing breathing.
Question 4 of 5
A client diagnosed with ulcerative colitis is scheduled for a terminal ileostomy. The nurse is aware the stoma will be in what area of the client's abdomen?
Correct Answer: A
Rationale: A terminal ileostomy involves creating a stoma in the right lower quadrant, where the ileum is anatomically located, for waste elimination.
Question 5 of 5
The nurse is caring for a patient who has a pelvic fracture and an external fixation device. How should the nurse perform assessment of pressure areas and provide skin care to the patient's back and sacrum?
Correct Answer: A
Rationale: Using a trapeze allows safe assessment of pressure areas without risking further injury in a patient with a pelvic fracture.