ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A nurse is assessing a client who reports ear pain for the past three days that has suddenly resolved. The client has a new onset of otorrhea (drainage from the ear). The nurse should recognize the client has manifestations of which of the following conditions?
Correct Answer: C
Rationale: A perforated tympanic membrane can lead to the sudden resolution of ear pain followed by drainage, as the pressure causing the pain is relieved when the eardrum ruptures.
Question 2 of 5
A nurse is planning care for a client who has just had spinal surgery. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Neurological checks every 2 hours are essential post-spinal surgery to monitor for changes or deterioration in neurological status.
Question 3 of 5
A nurse is assessing a client 15 minutes after administering 2 mg of morphine sulfate via IV push. The nurse should identify which of the following findings as an adverse effect of the medication?
Correct Answer: C
Rationale: A respiratory rate of 8 breaths per minute is significantly low and indicates respiratory depression, which is a serious adverse effect of morphine. The nurse should be concerned about this finding and take appropriate action.
Question 4 of 5
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?
Correct Answer: A
Rationale: This set of values is indicative of metabolic acidosis with respiratory compensation, which is common in chronic kidney disease due to the accumulation of acids in the blood and the lungs' attempt to compensate by retaining CO2.
Question 5 of 5
A nurse is preparing to administer a unit of red blood cells. The nurse's responsibility is to compare and verify the information on the blood label with the client's information. Which of the following should the nurse use as the priority source of verification?
Correct Answer: B
Rationale: The identification wristband is the priority source for verification, ensuring the blood product matches the client's information.