ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A client is admitted to the emergency room with renal colic due to renal lithiasis (stones). What is the nurse's highest priority in managing care for this client?
Correct Answer: C
Rationale: Administering pain medication is the priority to manage severe pain from renal colic, facilitating further care.
Question 2 of 5
A 45-year-old patient with a history of chronic alcohol use presents to the emergency department with epigastric pain, nausea, and vomiting. Which of the following findings would best support a diagnosis of acute gastritis?
Correct Answer: A
Rationale: Erosion of the gastric mucosa on endoscopy is the hallmark of acute gastritis, often caused by alcohol irritation.
Question 3 of 5
A nurse is providing discharge teaching to a client who will be receiving total parenteral nutrition (TPN) at home. Which of the following instructions should the nurse include? (Select all that apply.)
Correct Answer: A,D
Rationale: Infusing 10% dextrose prevents hypoglycemia if TPN is unavailable, and refrigerating TPN maintains stability. Shaking the bag or maintaining rate when behind can cause complications.
Question 4 of 5
A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following laboratory values should the nurse review before administering furosemide?
Correct Answer: B
Rationale: Potassium levels must be reviewed before administering furosemide, a diuretic that can cause hypokalemia, risking cardiac arrhythmias.
Question 5 of 5
The nurse is caring for a client diagnosed with a myocardial infarction (MI) who is reporting severe chest pain. Which interventions should the nurse implement? (Select all that apply.)
Correct Answer: D,E
Rationale: Aspirin inhibits platelet aggregation, reducing clot formation, and oxygen improves myocardial oxygenation. Supine positioning, intramuscular morphine, and subcutaneous nitroglycerin are not appropriate.