ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A client is admitted to the hospital with the diagnosis of a right-sided brain attack (CVA). The client is right-handed. Which task will be most difficult for this client?
Correct Answer: B
Rationale: Writing, a fine motor skill, relies on the right hand, disrupted by right-sided CVA's left-sided impairment. Dressing , combing , and eating are less precise.
Question 2 of 5
The nurse is receiving hand-off report. Which of the following clients would the nurse assess first?
Correct Answer: C
Rationale: Decreased breath sounds and crackles in pancreatitis signal pleural effusion or ARDS, a life-threatening priority. Low NG drainage , respiratory distress in ascites , and low BP in varices are less immediately critical.
Question 3 of 5
A client with chronic renal failure is asking the nurse why her hemoglobin and hematocrit counts are low. Which of the following is the nurse's best response?
Correct Answer: B
Rationale: Kidneys in chronic renal failure fail to produce erythropoietin, a hormone stimulating red blood cell production, causing anemia. Heparin prevents clotting, blood loss is minimal, and protein intake isn't the primary driver.
Question 4 of 5
A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?
Correct Answer: C
Rationale: Levothyroxine replaces deficient thyroid hormone in hypothyroidism, normalizing metabolism. Radioactive iodine treats hyperthyroidism, sumatriptan is for migraines, and levofloxacin is an antibiotic, all irrelevant.
Question 5 of 5
A patient presents to the ER with numbness in the left arm, a severe headache, and trouble speaking. Which of the following diagnostic tests do you anticipate the healthcare provider to order?
Correct Answer: A
Rationale: CT scan rapidly detects stroke, critical for numbness, headache, and speech issues. Hemoglobin/hematocrit assesses anemia, MRI is slower, and pulmonary angiography is for embolism, not stroke.