ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Vital Signs
Nurses' Notes
Diagnostic Results
Day 3, 0700:
Temperature: 37.3°C (99.1°F)
Blood pressure: 112/62 mmHg
Heart rate: 84/min
Respiratory rate: 20/min
Pulse oximetry: 97% on room air
Day 3, 1130:
Temperature: 37.8°C (100°F)
Blood pressure: 104/56 mmHg
erature: 37.8°C (100°F) o Blood pressure: 104/56 mmHg
Question 1 of 5
A nurse is caring for a 28-year-old male client with type 1 diabetes mellitus in the medical-surgical unit on day 3 of hospitalization. Select the two findings that require immediate follow-up:
| Glucose at 1130 |
| Client report of shakiness |
| Temperature |
| Oxygen saturation |
Correct Answer: A,B
Rationale: A glucose level of 55 mg/dL and symptoms like shakiness indicate hypoglycemia, requiring immediate intervention to prevent severe complications.
Extract:
Question 2 of 5
A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?
Correct Answer: A
Rationale: The oral mucosa is the most reliable indicator of central cyanosis, reflecting systemic oxygenation levels.
Question 3 of 5
A 45-year-old patient with a history of chronic alcohol use presents to the emergency department with epigastric pain, nausea, and vomiting. Which of the following findings would best support a diagnosis of acute gastritis?
Correct Answer: A
Rationale: Erosion of the gastric mucosa on endoscopy is the hallmark of acute gastritis, often caused by alcohol irritation.
Question 4 of 5
A client diagnosed with type II diabetes controlled with a biguanide medication and a history of liver disease is scheduled for a computed tomography (CT) scan with contrast medium of the abdomen to evaluate pancreatic function. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Hydration is critical to protect kidney function and reduce contrast-induced nephropathy risk, especially with liver disease.
Question 5 of 5
The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, 'I always get a rash when I eat shellfish.' Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Notifying the provider is the priority to ensure precautions are taken during the procedure, as shellfish allergies may indicate a risk for contrast dye reactions.