ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Dehydration is a common finding in diabetes insipidus. The condition causes excessive urination (polyuria) due to a deficiency of antidiuretic hormone (ADH) or resistance to it, leading to a significant loss of water and subsequent dehydration if fluid intake is not sufficient to compensate.
Question 2 of 5
A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?
Correct Answer: B
Rationale: Inability to recognize family members, or prosopagnosia, is a common result of right hemisphere strokes. The right hemisphere is responsible for spatial awareness and recognition of faces, so damage to this area can impair the ability to recognize familiar people.
Question 3 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.
Extract:
Nurse's Notes
The client arrives to the ED and reports a "fluttering" and "racing" heartbeat. The client also reports dizziness and shortness of breath. Client placed on telemetry, cardiac rhythm is irregular, tachycardic and has unclear P waves.
A nurse is caring for a client in the emergency department (ED).
Question 4 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
| Acton to Take: Prepare the client for defibrillation |
| Obtain a 12 lead ECG |
| Teach the client how to perform vagal maneuver |
| Administer adenosine IV push |
| Administer an anticoagulant |
| Potential conditions A. Atrial fibrillation B. Supraventricular Tachycardia C. Ventricular fibrillation D. Ventricular tachycardia |
| Parameters to monitor A. Central nervous system side effects B. Manifestations of stroke C. Prolonged PR interval D. PT/INR E. Hypokalemia |
Correct Answer: A,B,E,B,D
Rationale: The client is likely experiencing atrial fibrillation, indicated by irregular, tachycardic rhythm and unclear P waves. Obtaining a 12-lead ECG and administering an anticoagulant are appropriate actions. Monitoring for stroke manifestations and PT/INR assesses progress and anticoagulant therapy effectiveness.
Extract:
Question 5 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.