ATI RN
ATI Nur258 Med Surg 2 Final Exam Questions
Extract:
Question 1 of 5
A client with chronic pain is using aspirin regularly to control her pain symptoms. She presents to the hospital with abdominal pain, pale skin, afebrile, and a blood pressure (BP) of 83/45 mm Hg. Which type of shock is the client most likely experiencing?
Correct Answer: A
Rationale: Hypovolemic shock is characterized by low blood pressure, pale skin, and abdominal pain due to significant fluid loss or hemorrhage. The client's symptoms, including hypotension and abdominal pain, suggest a reduction in blood volume potentially caused by gastrointestinal bleeding or ulceration, which is consistent with chronic aspirin use.
Question 2 of 5
A nurse is assessing a client with chronic liver failure who tells the nurse he is experiencing spontaneous episodes of bleeding and has noted increased areas of bruising on his arms. The nurse suspects the client has a deficiency in which of the following vitamins?
Correct Answer: C
Rationale: Vitamin K is essential for the synthesis of clotting factors produced by the liver. In chronic liver failure, the liver's ability to produce these factors is impaired, leading to an increased risk of bleeding and bruising due to vitamin K deficiency.
Question 3 of 5
A nurse is preparing to administer cefazolin 1 g by intermittent intravenous (IV) bolus over 30 minutes. Available is cefazolin 1 g in 100 mL dextrose 5% in water (D5W). The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero. Only enter numbers and decimals. Do not enter any letters in your answer.)
Correct Answer: 33
Rationale: Infusion rate = 3.33 mL/min x 10 gtt/mL = 33.3 gtt/min, rounded to 33 gtt/min.
Question 4 of 5
A nurse is providing education about levothyroxine to a client diagnosed with primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?
Correct Answer: A
Rationale: Levothyroxine is a thyroid hormone replacement used to treat hypothyroidism. Symptoms such as tremors, nervousness, and insomnia can indicate that the dose is too high, as these are signs of hyperthyroidism.
Question 5 of 5
A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following responses from the client shows understanding of the teaching plan?
Correct Answer: D
Rationale: Avoiding foods high in fat, such as fried chicken, is important for managing biliary colic and chronic cholecystitis. Fatty foods can stimulate gallbladder contractions and exacerbate symptoms.