ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A goiter is characterized by which of the following?
Correct Answer: B
Rationale: Goiter is thyroid enlargement, often from iodine deficiency or hyperplasia. Fever is for thyroid storm, fibrosis is vascular, and glycosaminoglycans are for myxedema.
Question 2 of 5
A client is admitted to the hospital with the diagnosis of a right-sided brain attack (CVA). The client is right-handed. Which task will be most difficult for this client?
Correct Answer: B
Rationale: Writing, a fine motor skill, relies on the right hand, disrupted by right-sided CVA's left-sided impairment. Dressing , combing , and eating are less precise.
Question 3 of 5
Which of the following is a priority nursing intervention for a client admitted with an ischemic stroke?
Correct Answer: D
Rationale: Raising the head 30 degrees optimizes cerebral perfusion in ischemic stroke. Semi-Fowler's aids breathing, Trendelenburg risks pressure, and flat worsens ischemia.
Question 4 of 5
A nurse is caring for a client who has just developed a pulmonary embolism. Which of the following medications should the nurse anticipate administering?
Correct Answer: B
Rationale: Heparin prevents clot growth in pulmonary embolism, stabilizing it. Dexamethasone reduces inflammation, atropine treats bradycardia, and furosemide manages fluid, not clots.
Question 5 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.