ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?
Correct Answer: A
Rationale: The oral mucosa is the most reliable indicator of central cyanosis, reflecting systemic oxygenation levels.
Question 2 of 5
A 50-year-old male patient with a history of chronic alcoholism presents with fatigue, glossitis, and peripheral neuropathy. Laboratory findings show a hemoglobin level of 9.0 g/dL and mean corpuscular volume (MCV) of 110 fL. What type of anemia is most likely in this patient?
Correct Answer: B
Rationale: Vitamin B12 deficiency anemia, caused by malabsorption in chronic alcoholism, presents with macrocytic anemia, glossitis, and neuropathy.
Question 3 of 5
A client with a recent ST segment elevation MI (STEMI) presents with bilateral lower extremity edema and crackles throughout the lung fields. What is the nurse's priority intervention for this client?
Correct Answer: B
Rationale: Diuretics are the priority to reduce fluid overload, indicated by edema and lung crackles post-STEMI.
Question 4 of 5
The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, 'I always get a rash when I eat shellfish.' Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Notifying the provider is the priority to ensure precautions are taken during the procedure, as shellfish allergies may indicate a risk for contrast dye reactions.
Question 5 of 5
A nurse is caring for a client who is receiving heparin 3,800 units subcutaneous daily. Available is heparin 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)
Correct Answer: A
Rationale: Calculate: 3,800 units ÷ 5,000 units/mL = 0.76 mL, rounded to 0.8 mL.