ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A nurse in the emergency department is caring for a client who sustained a head injury. The nurse notes the client's IV fluids are infusing at 125 mL/hr. Which of the following is an appropriate action by the nurse?
Correct Answer: D
Rationale: Continuing the rate at 125 mL/hr is appropriate for maintaining the current IV fluid regimen unless there are specific orders or conditions that require a change.
Question 2 of 5
To auscultate for a carotid bruit, the nurse places the stethoscope at what location (Select the correct location on the image. To change, click on a new location.)
Correct Answer: A
Rationale: The carotid artery is the correct location for auscultating a carotid bruit.
Question 3 of 5
A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,E
Rationale: Placing a pillow under the client's head prevents head injury during a seizure. Loosening restrictive clothing helps prevent injury and allows for easier breathing.
Question 4 of 5
A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Applying ice to the affected area is recommended to reduce swelling and pain after arthroscopic knee surgery.
Question 5 of 5
A nurse is planning postoperative care for a client who is scheduled for an ileal conduit procedure. The nurse should include which of the following in the client's plan of care? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Hematuria is expected following an ileal conduit procedure. Monitoring hourly urine output ensures patency of the urinary system. Applying a skin barrier around the stoma site prevents skin breakdown.