ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who had a left hip arthroplasty. Which of the following interventions should the nurse use to prevent dislocation?
Correct Answer: D
Rationale: Maintaining a foam wedge between the legs is the most effective intervention to prevent hip dislocation. The wedge keeps the hips in proper alignment and prevents excessive internal rotation or adduction, which are common causes of dislocation after hip arthroplasty.
Question 2 of 5
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Dehydration is a common finding in diabetes insipidus. The condition causes excessive urination (polyuria) due to a deficiency of antidiuretic hormone (ADH) or resistance to it, leading to a significant loss of water and subsequent dehydration if fluid intake is not sufficient to compensate.
Question 3 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 4 of 5
A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during assessment? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Enlarged distal extremities, hepatomegaly, and coarse facial features are hallmark signs of acromegaly due to excess growth hormone. Loss of color discrimination and moon face are not typically associated with this condition.
Question 5 of 5
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?
Correct Answer: C
Rationale: Aspirin acts as an antiplatelet aggregate, which is its key action in preventing the formation of blood clots. This is crucial for patients with a history of MI, as it helps reduce the risk of further clot-related events, such as a recurrent MI or stroke.