ATI RN
ATI Med Surg Pharm Comprehensive Exam 1 Questions
Extract:
Question 1 of 5
A nurse is assisting with the admission of a client who is about to have elective surgery. The client tells the nurse she feels anxious. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Encouraging the client to express her concerns is a therapeutic communication technique that validates her feelings and can help reduce anxiety.
Extract:
Diagnostic Results
0900:
Hct 27% (37% to 47%)
Hgb 8 g/dL (12 g/dL to 16 g/dL)
WBC 7,000/mm3 (5000 to 10,000/mm3)
Potassium 4.2 mEq/L (3.5 mEq/L to 5 mEq/L)
Nurses' Notes
1000:
1 unit of packed RBCs started through a #18 g IV in right hand as prescribed. Unit of blood infusing well. IV site dry and intact, without redness or swelling.
1015:
Client appears anxious and reports a headache and low back pain. Client voided 100 mL of brown-colored urine. Bilateral breath sounds clear and present throughout.
Vital Signs
1000:
Temperature 37.2° C (99° F)
Blood pressure 106/56 mm Hg Heart rate 104/min
Respiratory rate 20/min
Pulse oximetry 96% on room air
1015:
Temperature 39.6" C(103.3° F)
Blood pressure 74/50 mm Hg
Heart rate 124/min
Respiratory rate 28/min
Pulse oximetry 95% on room air
Question 2 of 5
Which of the following findings at 1015 requires further action? (Select all that apply.)
Correct Answer: C,D
Rationale: Brown-colored urine can sometimes indicate dehydration or certain medical conditions, requiring follow-up. A significant drop in blood pressure (74/50 mmHg) indicates hypotension and requires immediate attention.
Extract:
Question 3 of 5
A nurse in a long-term care facility is assisting a client with eating during meal time and recognizes another client indicating he is choking. Which of the following situations requires the nurse to perform the Heimlich maneuver?
Correct Answer: B
Rationale: Inability to make any sounds indicates a complete airway obstruction, requiring the Heimlich maneuver.
Question 4 of 5
A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 124/79 mm Hg places him in which of the following categories?
Correct Answer: B
Rationale: Elevated BP is defined as a systolic BP of 120-129 mm Hg and a diastolic BP of less than 80 mm Hg.
Question 5 of 5
A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis and is started on ethambutol therapy. The nurse should understand that which of the following should be monitored?
Correct Answer: B
Rationale: Ethambutol can cause optic neuritis, so monitoring visual acuity is essential.