ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A nurse is caring for a client diagnosed with a fractured tibia and fibula. Which data should the nurse report to the healthcare provider immediately?
Correct Answer: A
Rationale: An absent dorsalis pedis pulse with increasing pain suggests compromised circulation, requiring immediate reporting.
Question 2 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 3 of 5
A client one (1) day postoperative for coronary artery bypass graft (CABG) reports chest pain. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Assessing vital signs and telemetry first helps determine the cause of chest pain and rules out serious complications.
Question 4 of 5
A nurse is caring for a patient with long history of chronic obstructive pulmonary disease (COPD) who develops cor pulmonale. The nurse should monitor the patient for which expected finding if heart failure is present?
Correct Answer: B
Rationale: Peripheral edema is a common sign of heart failure in cor pulmonale due to venous pressure buildup.
Question 5 of 5
The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
Correct Answer: C
Rationale: Carvedilol, a beta-blocker, can exacerbate asthma symptoms and requires clarification in patients with asthma.