ATI RN
ATI Med Surg Npro 2000 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?
Correct Answer: C
Rationale: Heparin prevents new clot formation and extension but does not dissolve existing clots, which the body's fibrinolytic system handles.
Question 2 of 5
A nurse is assessing a client who has myxedema coma. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Facial edema is characteristic of myxedema coma due to mucopolysaccharide deposition from severe hypothyroidism.
Question 3 of 5
A nurse identifies that the environment is important when caring for a client with hypomanic episodes. What should the nurse do when caring for clients with this disorder?
Correct Answer: B
Rationale: Providing a calm atmosphere by placing the client in a private room reduces overstimulation, which is critical for managing hypomanic episodes. Shared spaces or bright environments may exacerbate symptoms like irritability and impulsivity.
Question 4 of 5
A physician orders a nasogastric (NG) tube for a young adult diagnosed with end-stage ovarian cancer and suspected of having a bowel obstruction. The newly hired nurse explains the procedure and rationale for NG tube placement. The client refuses to consent to NG tube placement, stating, 'I would rather keep vomiting than have the tube in my nose.' Following the American Nurses Association Code of Ethics for Nurses, what should the nurse do next?
Correct Answer: D
Rationale: Respecting the client's autonomy requires documenting their refusal and notifying the physician for alternative planning.
Question 5 of 5
The family of a client, stung by a bee, has rushed the client to the emergency room. The client is experiencing hives and redness at the site. Upon arrival, the client states, 'I feel a lump in my throat, and I am sweating. I can't breathe! I think I am going to die.' The nurse anticipates which emergency treatment next?
Correct Answer: B
Rationale: Epinephrine is the first-line treatment for anaphylaxis, rapidly reversing symptoms like throat swelling and breathing difficulty.