ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?
Correct Answer: B
Rationale: DKA causes severe dehydration, and 0.9% sodium chloride IV bolus is the first priority to restore intravascular volume. Oral hypoglycemics, glucocorticoids, and dextrose are not initial treatments.
Question 2 of 5
A client is recovering from an open reduction of the femur suddenly feels light headed, with increased anxiety and agitation. Which key vital sign differentiates early sepsis from a pulmonary embolism?
Correct Answer: D
Rationale: Fever is an early sign of sepsis, differentiating it from pulmonary embolism, which is associated with respiratory distress, tachycardia, and chest pain. Tachycardia, hypotension, and tachypnea are present in both.
Question 3 of 5
A community health nurse is reviewing disaster preparedness and response. Which of the following actions should the nurse identify as occurring during the disaster preparation phase?
Correct Answer: B,C,D
Rationale: Updating disaster plans, participating in drills, and including vulnerable populations are part of the preparation phase. Referring families for mental health and providing first aid occur in the recovery and response phases, respectively.
Question 4 of 5
A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis?
Correct Answer: B
Rationale: Chronic alcohol use is the most common cause of liver cirrhosis due to liver cell damage and fibrosis. Cocaine, inhalants, and caffeine are not primary causes.
Question 5 of 5
A nurse is assessing a client who has a pleural effusion. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Pleural effusion causes fluid accumulation in the pleural space, leading to dullness on percussion. Substernal retractions, crepitus, and crackles are not typical findings.