ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse in the operating room is caring for a client who suddenly develops muscle rigidity and a rise in body temperature. What emergency medication should the nurse expect to receive an order to start administering?
Correct Answer: A
Rationale: Dantrolene treats malignant hyperthermia, indicated by rigidity and hyperthermia. Neostigmine, vecuronium, and naloxone address other conditions.
Question 2 of 5
A nurse is caring for a client who has end-stage kidney disease (ESKD) and reports having shortness of breath and swelling in his lower extremities. Upon assessment, the nurse notes the client has crackles in his lungs and elevated blood pressure. The nurse should suspect which of the following based on the client's manifestations?
Correct Answer: C
Rationale: Hypervolemia causes edema, shortness of breath, crackles, and hypertension in ESKD due to fluid retention. Hyperkalemia and hyponatremia affect electrolytes, hypovolemia causes hypotension.
Question 3 of 5
A nurse is preparing to administer lorazepam 1 mg PO at bedtime. The amount available is lorazepam 2 mg tablets. How many tablets should the nurse administer per dose?
Correct Answer: B
Rationale: Calculate: 1 mg ÷ 2 mg/tablet = 0.5 tablets per dose.
Question 4 of 5
A nurse is caring for a client who has a stage 3 pressure ulcer. The nurse should recognize which laboratory result identifies this client as being at risk for delayed wound healing?
Correct Answer: C
Rationale: Low serum albumin (3.2 g/dL) indicates malnutrition, delaying wound healing. Normal WBC, hemoglobin, and INR don't directly affect healing.
Question 5 of 5
A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?
Correct Answer: C
Rationale: A footboard maintains dorsiflexion, preventing plantar flexion contractures. Trochanter rolls prevent hip rotation, heel pads protect skin, and abduction pillows align hips.