Questions 71

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ATI Med Surg Final Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client after a radical neck dissection. To which of the following should the nurse give priority in the immediate postoperative period?

Correct Answer: A

Rationale: Ineffective airway clearance is the priority as it addresses the immediate threat to the client's respiratory status, which can lead to airway obstruction and respiratory distress.

Question 2 of 5

A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a pneumothorax?

Correct Answer: D

Rationale: Absence of breath sounds indicates a pneumothorax, as air in the pleural space prevents lung expansion.

Question 3 of 5

A nurse is caring for a client who is postoperative and has an NG tube that has drained 2,500 mL in the past 6 hr. The nurse should monitor the client for which of the following electrolyte imbalances?

Correct Answer: B

Rationale: NG tube drainage can lead to loss of potassium, causing hypokalemia, which can result in cardiac dysrhythmias.

Question 4 of 5

A nurse is collecting data from a client prior to the administration of digoxin. Which of the following findings should the nurse report to the provider?

Correct Answer: A

Rationale: Hypokalemia (low potassium) increases the risk of digoxin toxicity and should be reported.

Question 5 of 5

A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?

Correct Answer: A

Rationale: Cleansing should be done in a front-to-back motion to prevent contamination, not back-and-forth.

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