ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A client diagnosed with type II diabetes controlled with a biguanide medication and a history of liver disease is scheduled for a computed tomography (CT) scan with contrast medium of the abdomen to evaluate pancreatic function. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Hydration is critical to protect kidney function and reduce contrast-induced nephropathy risk, especially with liver disease.
Question 2 of 5
Which of the following is a rationale for prescribing total parenteral nutrition (TPN) for a patient with inflammatory bowel disease (IBD)?
Correct Answer: A
Rationale: TPN provides nutrients intravenously, allowing the bowel to rest and heal, which is critical in IBD management. Reducing inflammation, stimulating the bowel, or preventing malnutrition are not the primary rationales.
Question 3 of 5
The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
Correct Answer: C
Rationale: Carvedilol, a beta-blocker, can exacerbate asthma symptoms and requires clarification in patients with asthma.
Question 4 of 5
A nurse is planning care for a client who is scheduled for a bronchoscopy. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: Ensuring NPO status prevents aspiration during bronchoscopy, a critical safety measure.
Question 5 of 5
A nurse is caring for a patient with long history of chronic obstructive pulmonary disease (COPD) who develops cor pulmonale. The nurse should monitor the patient for which expected finding if heart failure is present?
Correct Answer: B
Rationale: Peripheral edema is a common sign of heart failure in cor pulmonale due to venous pressure buildup.