ATI RN
ATI Med Surg Woolery Final Exam Questions
Extract:
Question 1 of 5
A client is admitted for an elective transurethral resection of the prostate (TURP). The client is receiving continuous bladder irrigation (CBI) after the procedure. In the post-anesthesia care unit (PACU), the nurse takes the client's vital signs and checks the urinary drainage bag frequently. Which assessment finding should the nurse prioritize reporting to the provider as an indication of a possible complication?
Correct Answer: B
Rationale: Stopped Foley catheter output may indicate a blockage, requiring immediate reporting.
Question 2 of 5
A nurse educator is providing an educational in-service about various neurological disorders. Which statement should be included when teaching about Guillain-Barre Syndrome?
Correct Answer: D
Rationale: Guillain-Barre Syndrome is an autoimmune condition affecting the peripheral nervous system.
Question 3 of 5
A nurse is caring for a client with an acute heart failure exacerbation. Which of the following medications are commonly prescribed to manage heart failure? (Select all that apply.)
Correct Answer: B,E
Rationale: Furosemide is a loop diuretic commonly used to manage heart failure by reducing fluid overload. Digoxin is a cardiac glycoside that can improve cardiac output and control heart rate in heart failure patients.
Question 4 of 5
A female client with systemic lupus erythematosus (SLE) asks the nurse about pregnancy and lupus. Which information should the nurse include when educating the client?
Correct Answer: C
Rationale: Frequent prenatal visits and monitoring are essential for managing lupus during pregnancy.
Extract:
Medical History
Caesarean sections in 2005 & 2008.
Hypertension. Takes amlodipine 5 mg PO daily.
Obesity
Transfuse 1 unit of packed red blood cells.
Allergies: Morphine
Nurse's Notes
1200:
Client presents to the emergency department with complaints of abdominal pain rated 9/10 with nausea. Pain is localized to the right upper quadrant, radiates to right shoulder. Client reports vomiting yesterday. Abdomen soft, non-distended, tender to palpation in RUQ with guarding. Client is alert and oriented to person, place, time, and situation. 2+ peripheral pulses in all extremities. Lungs clear to auscultation. Urine sample sent to lab, awaiting results, urine noted to be dark amber on collection.
Client diaphoretic, mild jaundice noted. 18 g peripheral IV catheter inserted to right antecubital with 0.9% sodium chloride infusing at 125 mL/hr continuous via pump. Awaiting orders. Will continue to monitor.
SWAT Diagnostic Results
1210
Sodium: 140 mEq/L
Potassium: 3.8 mEq/L
BUN: 18 mg/dL
Creatinine: 1.1 mg/dL
White Blood Cell Count: 14,000/mm3 Red Blood Cell Count 5.1 million/mm3 Hemoglobin: 15.1 g/dL
Platelet Count: 250,000/mm3
Vital Signs
1200:
Temperature 37.9°C (100.3°F)
Heart rate 120/min (Sinus Tachycardia) Respiratory rate 22/min
Blood pressure 149/86 mmHg SaO2 96% on room air
Question 5 of 5
For each potential provider's order, click to specify if the potential order is anticipated or contraindicated for this client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Begin broad spectrum IV antibiotics (Anticipated) | ||
| Transfuse 1 unit of packed red blood cells (Contraindicated) | ||
| Prepare client for endoscopic retrograde cholangiopancreatography (Anticipated) | ||
| Administer morphine sulfate IV push for pain (Contraindicated) |
Correct Answer: A,C
Rationale: Antibiotics and ERCP are appropriate for suspected biliary infection; blood transfusion is not indicated, and morphine is contraindicated due to allergy.