ATI RN
ATI Nur258 Med Surg 2 Final Exam Questions
Extract:
Question 1 of 5
A nurse in a clinic is caring for a female client who was exposed to gonorrhea. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Obtaining information about the client's recent sexual experiences is crucial for assessing risk factors, guiding testing, and determining appropriate treatment for gonorrhea.
Question 2 of 5
An immunocompromised older adult has developed a urinary tract infection, and the healthcare team recognizes the need to prevent an exacerbation of the client's infection that could result in sepsis and septic shock. What action should the nurse perform to reduce the client's risk of septic shock?
Correct Answer: C
Rationale: Initiating intravenous (IV) antibiotics is the most critical intervention to reduce the risk of septic shock. Prompt administration of antibiotics can help control the infection before it progresses to sepsis, making this the priority action.
Question 3 of 5
The nurse is caring for a client who is having chest pain. The healthcare provider prescribes an infusion of nitroglycerin. The initial dose is 12 mcg/min. The nitroglycerin is dispensed at a concentration of 100 mg/ 250 mL. How many mL/hr will the nurse set the infusion pump? (Round rate to the nearest tenth. Only enter numbers and decimals. Do not enter any letters in your answer.)
Correct Answer: 1.8
Rationale: Infusion rate = 0.72 mg/hr / 0.4 mg/mL = 1.8 mL/hr
Question 4 of 5
A client on the oncology unit is receiving a chemotherapy agent, and the nurse is aware that a significant side effect of this medication is thrombocytopenia. For which symptom should the nurse assess in clients at risk for thrombocytopenia?
Correct Answer: A
Rationale: Petechiae are small, red or purple spots on the skin that indicate bleeding under the skin and are a classic sign of thrombocytopenia, a condition characterized by a low platelet count.
Question 5 of 5
The nurse is caring for a client in neurogenic shock following an overdose of anti-anxiety medication. When assessing this client, the nurse should recognize what characteristic of neurogenic shock?
Correct Answer: D
Rationale: Bradycardia is a hallmark of neurogenic shock due to unopposed parasympathetic stimulation resulting from the loss of sympathetic nervous system control.