ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has returned to the unit following a surgical procedure. The client's oxygen saturation is 85%. Which action should the nurse take first?
Correct Answer: D
Rationale: Administering oxygen at 2 L/min immediately improves low saturation. X-rays, bed elevation, and analgesics are secondary.
Question 2 of 5
The patient has just been started on enteral feeding and has developed diarrhea after being on the feeding for 2 hours. What does the nurse suspect is the most likely cause of the diarrhea?
Correct Answer: C
Rationale: Formula intolerance causes immediate diarrhea in new enteral feeding. C. difficile, antibiotics, and contamination typically have delayed onset.
Question 3 of 5
A nurse is providing discharge teaching to a client who has gastroesophageal reflux disease (GERD). Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Elevating the bed head reduces GERD symptoms by preventing acid reflux. Bedtime snacks, ignoring food triggers, and large meals worsen symptoms.
Question 4 of 5
A nurse is reviewing the laboratory values of a client who had a myocardial infarction 3 hours ago. The nurse should expect which of the following laboratory values to be elevated?
Correct Answer: D
Rationale: Troponin I is the most specific marker for myocardial infarction, indicating cardiac muscle damage. Amylase relates to pancreatitis, AST is less specific, and bilirubin is for liver function.
Question 5 of 5
A nurse is planning care for a client who is confined to bed. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Repositioning every 2 hours prevents pressure ulcers. Moist skin risks breakdown, assessment is monitoring, and massaging reddened areas can worsen damage.