ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A nurse in the emergency department is assessing an older adult client who has community-acquired pneumonia. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Confusion is a common symptom in older adults with pneumonia due to hypoxia or systemic inflammation.
Question 2 of 5
A nurse is providing discharge teaching to a client who will be receiving total parenteral nutrition (TPN) at home. Which of the following instructions should the nurse include? (Select all that apply.)
Correct Answer: A,D
Rationale: Infusing 10% dextrose prevents hypoglycemia if TPN is unavailable, and refrigerating TPN maintains stability. Shaking the bag or maintaining rate when behind can cause complications.
Question 3 of 5
A nurse is caring for a patient with long history of chronic obstructive pulmonary disease (COPD) who develops cor pulmonale. The nurse should monitor the patient for which expected finding if heart failure is present?
Correct Answer: B
Rationale: Peripheral edema is a common sign of heart failure in cor pulmonale due to venous pressure buildup.
Question 4 of 5
A patient who is experiencing an acute asthma attack is admitted to the emergency department. Which action should the nurse complete first?
Correct Answer: A
Rationale: Administering a bronchodilator is the priority to relieve bronchospasm and improve breathing in an acute asthma attack.
Question 5 of 5
A client is admitted to the emergency department with fever, chills, and severe left costovertebral pain. Which diagnostic test should be prioritized to evaluate the underlying cause of these symptoms?
Correct Answer: B
Rationale: Urinalysis with culture is prioritized to diagnose a urinary tract infection or pyelonephritis, indicated by costovertebral pain and systemic symptoms.