ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A client who had a cerebrovascular accident is assessed by a speech therapist after choking and having difficulty swallowing. Which of the following would be appropriate for the nurse to recommend?
Correct Answer: D
Rationale: Mashed potatoes, soft and thick, reduce aspiration risk in post-CVA dysphagia. Steak , iced tea , and grapes increase choking or aspiration hazards.
Question 2 of 5
The nurse is calculating the output of a client at the end of the shift. The nurse notes the following: 4 liters of fluid were removed during hemodialysis, the Jackson Pratt drain had 20 mL emptied from it, the client voided 100 mL, and the nasogastric tube has 325 mL in the drainage canister. How many milliliters should the nurse record as output for this shift?
Correct Answer: A
Rationale:
Total output is 4000 mL (hemodialysis) + 20 mL (Jackson Pratt) + 100 mL (urine) + 325 mL (nasogastric) = 4445 mL. Other options miscalculate or omit components.
Question 3 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.
Question 4 of 5
The nurse is assessing a client with esophageal varices. Which of these findings would be early indicators of bleeding?
Correct Answer: D
Rationale: Tachycardia, restlessness, and pallor indicate early blood loss from varices. Epigastric fullness is vague, yellow sclera reflects liver issues, and bradycardia/lethargy are late signs.
Question 5 of 5
A client is scheduled to receive peritoneal dialysis. Which of the following is the highest priority action that the nurse should perform before starting dialysis?
Correct Answer: A
Rationale: Weighing assesses fluid status, guiding dialysis goals. Fowler's is during dialysis, pain meds are secondary, and Trendelenburg is irrelevant.