ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Diaphoresis, nausea, and tachycardia are common symptoms of an acute MI due to the body's stress response, gastrointestinal effects, and compensatory mechanisms for reduced cardiac output. Orthopnea and headache are not typical.
Question 2 of 5
Which condition causes the formation of biliary sludge?
Correct Answer: C
Rationale: Bile stasis is the primary cause of biliary sludge. It occurs when bile remains in the gallbladder for an extended period, leading to the formation of thickened bile and sludge. Factors such as fasting, pregnancy, or liver disease can contribute to bile stasis.
Question 3 of 5
A nurse is assessing the elastic bandage on the stump of a client who had a right below-the-knee amputation. Which of the following findings should the nurse identify as a complication?
Correct Answer: B
Rationale: Pitting edema around the stump dressing is a complication. This could indicate poor circulation, infection, or fluid retention, which requires prompt assessment and intervention to prevent further complications.
Question 4 of 5
A nurse is caring for a client who has prostate cancer and had a prostatectomy. Which of the following should the nurse understand is a potential complication of prostate surgery?
Correct Answer: A
Rationale: Erectile dysfunction is a common complication following prostatectomy due to potential damage to the nerves responsible for erectile function. This can occur as a result of the surgery, particularly if the prostate is near the nerves involved in sexual function.
Question 5 of 5
A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Cortisol replacement therapy is essential for children with Addison's disease because the condition involves insufficient production of cortisol, a hormone vital for stress response and metabolism. Teaching parents about this therapy is a key nursing intervention to ensure proper management of the disease.