ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse enters the room of a client with type 1 diabetes mellitus and finds the client difficult to arouse. The client's skin is warm and flushed and the pulse and respiratory rate are increased from the client's baseline. The nurse would first take which action?
Correct Answer: C
Rationale: Checking blood glucose first determines if the client has hyperglycemia or hypoglycemia, guiding treatment. Insulin, orange juice, or dextrose may be inappropriate without this information.
Question 2 of 5
A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram (IVP). Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: After the procedure, drinking plenty of fluids helps flush out contrast dye and prevent dehydration and kidney damage. Red blood cells in urinalysis may require evaluation but not cancellation. High frequency sound waves are used in ultrasound, not IVP. Remaining flat for 4 hours is not required.
Question 3 of 5
A client has been diagnosed with hypothyroidism. What information should the nurse obtain when conducting a focused assessment? Select all that apply.
Correct Answer: A,B,D
Rationale: Weight gain, constipation, and decreased energy are common in hypothyroidism due to slowed metabolism, reduced gastrointestinal motility, and fatigue. Rapid pulse may indicate hyperthyroidism or anxiety. Hypertension may indicate renal or cardiovascular disease.
Question 4 of 5
A client is transported to the recovery area of the ambulatory care unit after cataract surgery. In which position does the nurse place the client?
Correct Answer: D
Rationale: Semi Fowler's position reduces intraocular pressure and promotes healing post-cataract surgery. Side lying, supine, or prone positions may increase pressure or swelling.
Question 5 of 5
A nurse is monitoring a client who is receiving chemotherapy and has a platelet count of 20,000 mm3. Which of the following findings should the nurse identify as the priority?
Correct Answer: C
Rationale: Bleeding is the priority due to low platelets, risking hemorrhage. Fatigue, anorexia, and fever are less urgent but require attention.