ATI RN
ATI Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Checking vital signs assesses for digoxin toxicity, which can cause nausea and requires immediate evaluation.
Question 2 of 5
A nurse is caring for a client after a radical neck dissection. To which of the following should the nurse give priority in the immediate postoperative period?
Correct Answer: A
Rationale: Ineffective airway clearance is the priority as it addresses the immediate threat to the client's respiratory status, which can lead to airway obstruction and respiratory distress.
Question 3 of 5
A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds?
Correct Answer: D
Rationale: Expiratory wheezes are high-pitched, musical sounds heard during expiration, characteristic of asthma exacerbation due to narrowed airways.
Question 4 of 5
A nurse is preparing to collect a specimen from a client for a guaiac test. The client asks what the test will detect in his stool. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The guaiac test detects hidden blood in the stool, used for colorectal cancer screening.
Question 5 of 5
A nurse is planning care for a client who has renal stones and a urinary catheter in place. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Straining urine collects stones for analysis, aiding in treatment planning.