ATI RN
ATI Med Surg Nursing 200 Exam Questions
Extract:
Question 1 of 5
A client is experiencing a thyroid storm precipitated by a right lower lobe pneumonia. The vital signs are: HR-140/min; RR-28, B/P-196/54; T-101.4°F, Pulse Oximetry-96%. What action should the nurse take?
Correct Answer: D
Rationale: Thyroid storm causes increased metabolic rate and dehydration risk. Maintaining IV fluids and monitoring hydration status are critical to prevent electrolyte imbalances and support circulation. Other options are not indicated based on the client's current condition.
Question 2 of 5
The nurse understands that a client who has had a bone marrow aspiration to assist in the diagnosis of aplastic anemia requires additional teaching when they state:
Correct Answer: A
Rationale: Aspirin increases bleeding risk post-procedure, so the client should avoid it and use acetaminophen instead, indicating a need for further teaching.
Question 3 of 5
The nurse administers the first dose of metoprolol 10 mg PO to a client. Which nursing action is most appropriate following the administration of this medication?
Correct Answer: A
Rationale: Metoprolol can cause dizziness or fainting after the first dose, so ensuring the call bell is accessible allows the client to seek help if needed.
Question 4 of 5
A client is experiencing a thyroid storm precipitated by a right lower lobe pneumonia. The vital signs are: HR-140/min; RR-28, B/P-196/54; T-101.4°F, Pulse Oximetry-96%. What action should the nurse take?
Correct Answer: D
Rationale: Thyroid storm causes increased metabolic rate and dehydration risk. Maintaining IV fluids and monitoring hydration status are critical to prevent electrolyte imbalances and support circulation. Other options are not indicated based on the client's current condition.
Question 5 of 5
The nurse, who is assessing a client with peripheral vascular disease, notes that the client has no hair on the legs and has thick toenails. Which statement describes the cause of this finding?
Correct Answer: C
Rationale: Peripheral vascular disease reduces blood flow, leading to tissue ischemia, which causes hair loss and nail changes due to decreased oxygen delivery.