ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse in the emergency room is caring for a client who presents with manifestations that indicate a myocardial infarction. Which of the following doctor's orders should the nurse take first?
Correct Answer: B
Rationale: Initiating oxygen therapy is the priority action. Oxygen is critical in improving oxygenation and reducing myocardial stress during a myocardial infarction. It helps prevent further damage to the heart muscle and supports overall cardiac function.
Question 2 of 5
The nurse is caring for a patient with a fracture who has a Buck's traction boot in place. The boot helps decrease which condition?
Correct Answer: D
Rationale: Muscle spasm is the primary condition that Buck's traction helps decrease. The boot applies a gentle, continuous pull on the limb, which helps to alleviate muscle spasms, reduce pain, and maintain proper alignment while the fracture heals.
Question 3 of 5
A nurse is caring for a client who is postoperative following an open cholecystectomy. Which of the following actions should the nurse take when caring for the client's Jackson-Pratt (JP) drain?
Correct Answer: A
Rationale: After emptying a Jackson-Pratt drain, the air must be expelled from the bulb to re-establish suction. This helps maintain negative pressure, ensuring the effective drainage of fluid from the surgical site.
Question 4 of 5
A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was
Correct Answer: C
Rationale: Hoarseness is the earliest and most common symptom of laryngeal cancer. It occurs because the tumor affects the vocal cords, causing changes in the voice. This symptom often appears early in the disease process, especially in individuals with a history of smoking.
Question 5 of 5
A nurse is caring for a client 4 hr following a cardiac catheterization. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: After a cardiac catheterization, the client is typically required to lie flat for several hours to prevent complications such as bleeding or hematoma formation at the catheter insertion site, especially if the femoral artery was used. This helps ensure the clotting process is not disturbed and reduces the risk of complications.