ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has right-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Peripheral edema is a classic sign of right-sided heart failure, as blood backs up in the systemic circulation, causing fluid retention, especially in the lower extremities.
Question 2 of 5
A nurse is assessing the elastic bandage on the stump of a client who had a right below-the-knee amputation. Which of the following findings should the nurse identify as a complication?
Correct Answer: B
Rationale: Pitting edema around the stump dressing is a complication. This could indicate poor circulation, infection, or fluid retention, which requires prompt assessment and intervention to prevent further complications.
Question 3 of 5
A nurse is planning care for a client who has deep vein thrombosis of the lower leg. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Keeping the client's affected leg elevated while in bed helps reduce swelling and promotes venous return, which is important in managing DVT.
Question 4 of 5
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?
Correct Answer: C
Rationale: Aspirin acts as an antiplatelet aggregate, which is its key action in preventing the formation of blood clots. This is crucial for patients with a history of MI, as it helps reduce the risk of further clot-related events, such as a recurrent MI or stroke.
Question 5 of 5
A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during assessment? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Enlarged distal extremities, hepatomegaly, and coarse facial features are hallmark signs of acromegaly due to excess growth hormone. Loss of color discrimination and moon face are not typically associated with this condition.