ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who arrived at the post anesthesia care unit (PACU) following a right knee arthroscopy. The client is not yet responding to verbal stimuli. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: Lateral positioning prevents aspiration in unresponsive clients, prioritizing airway safety. Blankets, pulses, and dressings are secondary.
Question 2 of 5
A nurse is caring for a client who has end-stage kidney disease (ESKD) and reports having shortness of breath and swelling in his lower extremities. Upon assessment, the nurse notes the client has crackles in his lungs and elevated blood pressure. The nurse should suspect which of the following based on the client's manifestations?
Correct Answer: C
Rationale: Hypervolemia causes edema, shortness of breath, crackles, and hypertension in ESKD due to fluid retention. Hyperkalemia and hyponatremia affect electrolytes, hypovolemia causes hypotension.
Question 3 of 5
A nurse is caring for a client who has left homonymous hemianopsia. Which of the following is an appropriate nursing intervention for this client?
Correct Answer: C
Rationale: Teaching to scan right compensates for left visual field loss in homonymous hemianopsia. Left-sided wheelchair placement is unhelpful, clock method is non-specific, and table placement is secondary.
Question 4 of 5
A nurse is preparing to administer lorazepam 1 mg PO at bedtime. The amount available is lorazepam 2 mg tablets. How many tablets should the nurse administer per dose?
Correct Answer: B
Rationale: Calculate: 1 mg ÷ 2 mg/tablet = 0.5 tablets per dose.
Question 5 of 5
The patient has just been started on an enteral feeding and has developed diarrhea after being on the feeding for 2 hours. What does the nurse suspect is the most likely cause of the diarrhea?
Correct Answer: C
Rationale: Formula intolerance often causes immediate diarrhea in new enteral feeding due to gastrointestinal reaction. Contamination, antibiotics, medication, and fluid overload typically have delayed or different presentations.