ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following laboratory values should the nurse review before administering furosemide?
Correct Answer: B
Rationale: Potassium levels must be reviewed before administering furosemide, a diuretic that can cause hypokalemia, risking cardiac arrhythmias.
Extract:
Vital Signs
Nurses' Notes
Diagnostic Results
Day 3, 0700:
Temperature: 37.3°C (99.1°F)
Blood pressure: 112/62 mmHg
Heart rate: 84/min
Respiratory rate: 20/min
Pulse oximetry: 97% on room air
Day 3, 1130:
Temperature: 37.8°C (100°F)
Blood pressure: 104/56 mmHg
erature: 37.8°C (100°F) o Blood pressure: 104/56 mmHg
Question 2 of 5
A nurse is caring for a 28-year-old male client with type 1 diabetes mellitus in the medical-surgical unit on day 3 of hospitalization. Select the two findings that require immediate follow-up:
| Glucose at 1130 |
| Client report of shakiness |
| Temperature |
| Oxygen saturation |
Correct Answer: A,B
Rationale: A glucose level of 55 mg/dL and symptoms like shakiness indicate hypoglycemia, requiring immediate intervention to prevent severe complications.
Extract:
Question 3 of 5
A nurse is evaluating a client who had a left-sided cardiac catheterization with an upper extremity insertion site. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Assessing pulses ensures adequate circulation and detects complications like arterial occlusion.
Question 4 of 5
After teaching a patient with chronic stable angina about nitroglycerin, the nurse recognizes the need for further teaching when the patient makes which statement?
Correct Answer: D
Rationale: The patient should call 911 after one dose if pain persists, not wait for three doses, indicating a need for further teaching.
Question 5 of 5
A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood. Which of the following actions is the nurse's highest priority?
Correct Answer: D
Rationale: Increasing IV fluid rate is the priority to stabilize hypotension and restore blood volume in acute blood loss.