ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client prior to the administration of morphine. The nurse should recognize which assessment is the priority?
Correct Answer: A
Rationale: Respiratory rate is critical before morphine due to risk of respiratory depression. Urine output, bowel sounds, and pupil reaction are secondary.
Question 2 of 5
A client is prescribed a thiazide diuretic. Which condition would be a contraindication for this medication?
Correct Answer: B
Rationale: Hypokalemia is a contraindication as thiazides cause potassium loss, worsening the condition. Gout and hypernatremia may require monitoring, but hypercalciuria benefits from thiazides.
Question 3 of 5
A nurse is caring for a 75-year-old client with aspiration pneumonia. The nurse should recognize what age-related change can contribute to the development of aspiration pneumonia?
Correct Answer: D
Rationale: A diminished cough reflex in older adults increases aspiration pneumonia risk by failing to clear airway secretions. Joint changes, gastric secretions, and smell sense are less relevant.
Question 4 of 5
A nurse is teaching a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: The Rinne test uses a tuning fork to compare air and bone conduction. Earphones, probes, and electrodes are unrelated.
Question 5 of 5
A nurse is reviewing the laboratory values of a client who had a myocardial infarction 3 hours ago. The nurse should expect which of the following laboratory values to be elevated?
Correct Answer: D
Rationale: Troponin I is the most specific marker for myocardial infarction, indicating cardiac muscle damage. Amylase relates to pancreatitis, AST is less specific, and bilirubin is for liver function.