ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client 4 hr following a cardiac catheterization. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: After a cardiac catheterization, the client is typically required to lie flat for several hours to prevent complications such as bleeding or hematoma formation at the catheter insertion site, especially if the femoral artery was used. This helps ensure the clotting process is not disturbed and reduces the risk of complications.
Question 2 of 5
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A severe headache is a hallmark symptom of meningitis. The inflammation of the meninges (the protective membranes covering the brain and spinal cord) typically causes intense headache, along with other symptoms such as fever, nausea, and photophobia.
Question 3 of 5
A nurse is performing a home safety assessment for a client who has experienced a stroke. Which of the following findings are a safety hazard for the client?
Correct Answer: A,B,E
Rationale: Dim lighting, a hot water heater set at 54°C (130°F), and area rugs are safety hazards for a stroke client. Dim lighting increases fall risk, high water temperature can cause burns, and area rugs are tripping hazards. Medications in a clear bag and grab bars are not hazards.
Question 4 of 5
A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to promote thinning of respiratory secretions?
Correct Answer: C
Rationale: Increasing fluid intake is the most effective way to thin respiratory secretions. Fluids help to hydrate the mucous membranes, making the mucus less thick and easier to clear.
Question 5 of 5
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
Correct Answer: C
Rationale: Regular insulin is the preferred choice for treating diabetic ketoacidosis. It is a short-acting insulin that can be administered intravenously to rapidly lower blood glucose levels and correct the metabolic acidosis associated with DKA.