ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A client is prescribed antibiotics while pending the results of their wound culture. The nurse understands this method of medication therapy is known as:
Correct Answer: C
Rationale: Empiric therapy involves administering antibiotics based on clinical signs before culture results confirm the infection's cause, aiming to manage infections promptly. Supplemental therapy enhances primary treatment, and replacement therapy restores deficient substances, neither applicable here.
Question 2 of 5
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?
Correct Answer: A
Rationale: Aspirin's antiplatelet effect prevents clot formation post-MI. Analgesic, antipyretic, and anti-inflammatory effects are secondary.
Question 3 of 5
A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse that the client's peristalsis is returning?
Correct Answer: A
Rationale: Passage of flatus indicates returning gastrointestinal function. Appetite is indirect, hypoactive sounds suggest reduced activity, and distention signals delayed function.
Question 4 of 5
A nurse is caring for a client who is postoperative following an open reduction and internal fixation (ORIF) of a fractured femur. Which of the following interventions is the most important for the nurse to complete in the postoperative period?
Correct Answer: C
Rationale: Neurovascular checks detect complications like compartment syndrome or impaired blood flow, critical post-ORIF. Exercises prevent thrombosis, pain management aids comfort, and crutch instruction supports mobility, but neurovascular status is priority.
Question 5 of 5
A nurse is caring for a client who has a stage 3 pressure ulcer. The nurse should recognize which laboratory result identifies this client as being at risk for delayed wound healing?
Correct Answer: C
Rationale: Low serum albumin (3.2 g/dL) indicates malnutrition, delaying wound healing. Normal WBC, hemoglobin, and INR don't directly affect healing.