ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A client is diagnosed with atrial fibrillation and has experienced a transient ischemic attack (TI
Correct Answer: B
Rationale: Oral anticoagulants are used in atrial fibrillation with a history of TIA to prevent blood clots and reduce stroke risk. Diuretics treat fluid overload, beta blockers control heart rate, and antihyperuricemic drugs manage gout, none addressing thromboembolism risk.
Question 2 of 5
A nurse is completing an 8-hour intake and output (I&O) record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?
Correct Answer: B
Rationale:
Total intake is calculated as: 4 oz juice (120 mL), 6 oz tea (180 mL), 100 mL ice chips (50 mL, half volume), 150 mL IV bolus, 8 oz broth (240 mL), summing to 740 mL. 700 mL is closest, accounting for practical rounding.
Question 3 of 5
A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which nursing action should the nurse complete first?
Correct Answer: B
Rationale: Assessing pulse and respirations establishes baseline vital signs, ensuring the client can tolerate postural drainage. Sputum assessment, pursed-lip instruction, and lung auscultation are important but follow vital sign assessment for safety.
Question 4 of 5
A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating (select all that apply)?
Correct Answer: B,D,E
Rationale: Cerebrovascular accident (stroke) causes dysphagia, increasing aspiration risk. Head and neck trauma damages swallowing structures, and recent postoperative clients under anesthesia have impaired airway reflexes. Lactose intolerance and diarrhea affect digestion, not swallowing.
Question 5 of 5
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?
Correct Answer: C
Rationale: NSAID use inhibits prostaglandins protecting the stomach lining, increasing peptic ulcer risk. Moderate alcohol and bulimia may contribute but are less significant, and green tea is generally beneficial.