ATI RN
ATI Med Surg 2 Questions
Extract:
Question 1 of 5
A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. Which of the following complications should the nurse monitor the client for?
Correct Answer: A,C,D,F
Rationale: Correct choices include weakened gag reflex, absence of bowel sounds, paralysis, and hypotension, which are complications of cervical spinal cord injury.
Question 2 of 5
A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse take?
Correct Answer: B
Rationale: Elevating the head of the bed to 30 degrees reduces intracranial pressure by facilitating venous drainage.
Question 3 of 5
A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?
Correct Answer: D
Rationale: Metformin interacts with contrast material, increasing the risk of lactic acidosis and acute kidney injury.
Question 4 of 5
A nurse is reviewing a client's laboratory values. Which of the following values should the nurse report to the provider?
Correct Answer: C
Rationale: WBC 1,700/mm³ indicates leukopenia, increasing infection risk, and should be reported.
Question 5 of 5
A nurse is providing discharge teaching to a client who has a new arteriovenous fistula in the right forearm. Which of the following manifestations should the nurse include in the teaching as a possible indication of venous insufficiency?
Correct Answer: A
Rationale: Cold and numb sensation distal to the fistula site indicates venous insufficiency due to reduced venous return.