ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has prostate cancer and had a prostatectomy. Which of the following should the nurse understand is a potential complication of prostate surgery?
Correct Answer: A
Rationale: Erectile dysfunction is a common complication following prostatectomy due to potential damage to the nerves responsible for erectile function. This can occur as a result of the surgery, particularly if the prostate is near the nerves involved in sexual function.
Question 2 of 5
For each potential precaution, click to specify if the precaution is indicated or contraindicated for a client who has had a total hip arthroplasty.
| Options | Indicated | Contraindicated |
|---|---|---|
| Request an antiemetic medication | ||
| Encourage the client to cough and deep breathe every 2 hr | ||
| Ensure an abductor pillow is in place while the client is in bed | ||
| Anticipate the administration of antibiotics | ||
| Obtain a culture of the drainage from the surgical site |
Correct Answer: B,C,D,E
Rationale: Encouraging coughing and deep breathing, using an abductor pillow, administering antibiotics, and obtaining a culture are indicated to prevent respiratory complications, hip dislocation, and infections. Antiemetics are contraindicated unless nausea is present.
Extract:
Nurse's Notes
The client arrives to the ED and reports a "fluttering" and "racing" heartbeat. The client also reports dizziness and shortness of breath. Client placed on telemetry, cardiac rhythm is irregular, tachycardic and has unclear P waves.
A nurse is caring for a client in the emergency department (ED).
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
| Acton to Take: Prepare the client for defibrillation |
| Obtain a 12 lead ECG |
| Teach the client how to perform vagal maneuver |
| Administer adenosine IV push |
| Administer an anticoagulant |
| Potential conditions A. Atrial fibrillation B. Supraventricular Tachycardia C. Ventricular fibrillation D. Ventricular tachycardia |
| Parameters to monitor A. Central nervous system side effects B. Manifestations of stroke C. Prolonged PR interval D. PT/INR E. Hypokalemia |
Correct Answer: A,B,E,B,D
Rationale: The client is likely experiencing atrial fibrillation, indicated by irregular, tachycardic rhythm and unclear P waves. Obtaining a 12-lead ECG and administering an anticoagulant are appropriate actions. Monitoring for stroke manifestations and PT/INR assesses progress and anticoagulant therapy effectiveness.
Extract:
Question 4 of 5
A nurse is preparing a community presentation about repetitive motion injuries. Which of the following occupations should the nurse identify as increasing a client's risk for carpal tunnel syndrome?
Correct Answer: A
Rationale: Nursing assistants are at an increased risk for carpal tunnel syndrome due to the repetitive nature of tasks like lifting, transferring, and assisting patients, which can lead to strain on the wrist and pressure on the median nerve.
Extract:
Nurses' notes
Client admitted with chest pain. Client is diaphoretic and short of breath. Client states. "Pain started when I began raking leaves in my yard. Pain "radiates to left arm and is a sharp pain." Cardiac enzymes indicate client is experiencing myocardial infarction. Provider notified and to prepare client for cardiac catheterization Immediately
A nurse is admitting a client who reports chest pain.
Question 5 of 5
The nurse is preparing the client for the cardiac catheterization. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Obtaining vital signs, witnessing the informed consent, and confirming allergies are necessary to monitor cardiovascular status, ensure consent, and prevent allergic reactions. Informing about risks is the provider's role, and marking the site is not required for cardiac catheterization.