ATI RN
ATI Med Surg Final Exam Nsg 232 Questions
Extract:
Question 1 of 5
A nurse is caring for a client two months following a total laryngectomy. The nurse should recognize that which of the following statements made by the client indicates the need for further teaching?
Correct Answer: A
Rationale: After a total laryngectomy, the sense of smell is significantly impaired or lost due to the inability to breathe through the nose, and this change is likely permanent.
Question 2 of 5
A nurse is caring for a client diagnosed with congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Checking the apical pulse first assesses for bradycardia, a sign of potential digoxin toxicity.
Question 3 of 5
A nurse is caring for a client following a left lobectomy for lung cancer. The nurse should prioritize which of the following interventions to prevent atelectasis?
Correct Answer: B
Rationale: Incentive spirometry promotes deep breathing and lung expansion, preventing atelectasis post-lobectomy.
Question 4 of 5
A nurse is caring for a client who is exhibiting manifestations of syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Increased urine specific gravity, behavioral changes, nausea, and severe headache are critical signs of SIADH, particularly related to hyponatremia, and require prompt reporting. Reduced urine output, while relevant, is less urgent.
Extract:
Nurses' Notes
1500:
Client presents to the ED and reports dyspnea, chest pain, and tachycardia. Client returned home from a vacation out of the country 24 hr ago.
1515:
The client has become diaphoretic, increasingly dyspneic, and states that their chest pain is sharp and increasing. The client states. "I feel like I'm going to die." Crackles auscultated in bilateral lower lobes, s3 and S4 heart sounds noted. Petechiae noted on the client's chest. Pulmonary embolism protocol initiated.
Vital signs
1500
T 38.1 (100.6 F),
HR 110/min, RR 24/min.
BP 138/52 (02)92% at 2L nasal canula 1515:
T 100.6 F,
HR 135/min, RR 32/min,
BP 120/50 mmHg,
02 90% at 4L nasal canula
Question 5 of 5
A nurse is caring for a client in the emergency department (ED). The nurse should first followed by
Correct Answer: A, E
Rationale: High Fowler's position improves breathing, and IV access prepares for medication administration in suspected pulmonary embolism.