ATI RN
ATI Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is assigned care of a client who has HIV. Which of the following infection control precautions should the nurse plan to use while caring for this client?
Correct Answer: C
Rationale: Standard precautions are used for all patients, including those with HIV, to prevent transmission via blood or body fluids.
Question 2 of 5
A nurse is caring for a client who is postoperative following a tracheostomy and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions?
Correct Answer: A
Rationale: Humidified oxygen prevents drying of mucous membranes, making secretions less tenacious and easier to manage.
Question 3 of 5
A nurse is collecting data on a client who is two days postoperative following creation of an ileal conduit. The nurse should report which of the following findings?
Correct Answer: B
Rationale: Feces in the drainage appliance indicates a complication, as an ileal conduit is for urinary diversion.
Question 4 of 5
A nurse is collecting data from a client who has atrial fibrillation. When documenting the quality of the client's pulse, which of the following terms should the nurse use?
Correct Answer: C
Rationale: Atrial fibrillation causes an irregularly irregular pulse due to chaotic atrial activity.
Question 5 of 5
A nurse is collecting data from a client who has acute gastroenteritis. Which of the following data collection findings should the nurse identify as the priority?
Correct Answer: D
Rationale: A low potassium level (hypokalemia) is critical and can lead to cardiac dysrhythmias, requiring prompt attention.