ATI RN
ATI n120 Med Surg Exam Questions
Extract:
Question 1 of 5
A client is receiving a blood transfusion, The nurse observes that the client is experiencing flank and lower back pain. Which of the following orders does the nurse anticipate receiving?
Correct Answer: C
Rationale: Flank and lower back pain during a transfusion suggest a hemolytic reaction; high-volume IV fluids help prevent kidney damage by flushing hemoglobin.
Question 2 of 5
Which action should the nurse take first when discovering a fire in the client's bathroom trash can?
Correct Answer: B
Rationale: Removing the client to safety is the priority to prevent injury, before pulling alarms, extinguishing, or closing doors.
Question 3 of 5
A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin, which of following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Phenytoin is typically lifelong for seizure control; stopping it risks recurrence, indicating a need for further teaching, unlike the other correct statements.
Question 4 of 5
A nurse is providing patient education for reducing the risk of coronary artery disease. Which of the following statements should the nurse make? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Controlling diabetes, exercising, maintaining healthy weight, and normal blood pressure reduce CAD risk; high HDL and low saturated fats are beneficial.
Question 5 of 5
The nurse is reading the arterial blood gas results of a patient admitted for sepsis. Which of the following would the nurse expect for a patient in metabolic acidosis?
Correct Answer: A
Rationale: Metabolic acidosis is indicated by low pH (7.25) and low HCO3- (16), with normal CO2, unlike other options in metabolic or respiratory alkalosis or acidosis.