ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A nurse in a Post Anesthesia Care Unit (PACU) is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A purplish colored stoma indicates compromised blood flow and is a sign of ischemia, requiring immediate medical attention.
Question 2 of 5
A charge nurse is teaching a group of nurses about clients who report using garlic, ginger, and ginkgo biloba. The charge nurse should identify which of the following as an adverse effect of these supplements?
Correct Answer: B
Rationale: Garlic, ginger, and ginkgo biloba have blood-thinning properties, increasing the effects of oral anticoagulants and bleeding risk.
Question 3 of 5
A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alterations?
Correct Answer: D
Rationale: Cheyne-Stokes respirations are characterized by a cyclic pattern of increasing and decreasing tidal volumes followed by periods of apnea, fitting the description provided.
Question 4 of 5
A nurse suspects a client with myasthenia gravis is experiencing a myasthenic crisis. Which of the following interventions should the nurse take?
Correct Answer: C
Rationale: Intubation is a critical intervention in a myasthenic crisis due to the risk of respiratory failure from severe muscle weakness.
Question 5 of 5
A nurse is caring for a client who recently had surgery for the insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify?
Correct Answer: C
Rationale: An MRI of the chest should be clarified with the healthcare provider because MRI can interfere with pacemaker function. Patients with pacemakers are generally advised to avoid MRI unless the pacemaker is incompatible, due to the risk of the magnetic field affecting the device's operation.