ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply)
Correct Answer: A,B,D,E
Rationale: Moon face, purple striations, hypertension, and buffalo hump are classic manifestations of Cushing's syndrome due to fat redistribution, skin thinning, fluid retention, and vasoconstriction. Tremors are not typically associated with this condition.
Question 2 of 5
Which finding in the patient's history increases the risk for acute pancreatitis?
Correct Answer: A
Rationale: Alcohol abuse is a major risk factor for acute pancreatitis. Chronic alcohol consumption can lead to inflammation of the pancreas and increase the likelihood of pancreatic injury.
Question 3 of 5
A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic. It helps retain - retain potassium while excreting sodium and water, which increases the risk for hyperkalemia (high potassium) and hyponatremia (low sodium) when used in combination with other medications that affect electrolyte balance.
Question 4 of 5
A nurse is assessing for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: A decrease in systolic pressure by more than 10 mm Hg during inspiration is a classic sign of paradoxical blood pressure, which can occur in conditions such as constrictive pericarditis. This occurs because the pressure within the pericardium prevents the heart from expanding fully during inspiration, leading to a drop in systolic blood pressure.
Question 5 of 5
A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the client's restored rhythm is symptomatic bradycardia?
Correct Answer: D
Rationale: Atropine is the first-line medication for symptomatic bradycardia. It works by blocking the parasympathetic effects on the heartI work to create a system that uses minimal resources while still getting the job done. I aim to be transparent straightforward and efficient avoiding unnecessary complexity. If you have questions or need assistance feel free to ask 'I'm here to help with clear no-nonsense answers.