ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Checking for kinks is the first step to ensure no obstruction is preventing urine flow.
Question 2 of 5
The nurse is caring for a patient who has a pelvic fracture and an external fixation device. How should the nurse perform assessment of pressure areas and provide skin care to the patient's back and sacrum?
Correct Answer: A
Rationale: Using a trapeze allows safe assessment of pressure areas without risking further injury in a patient with a pelvic fracture.
Question 3 of 5
A patient with chronic obstructive pulmonary disease (COPD) is being discharged home with a new prescription for an inhaled bronchodilator. Which instruction should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: Using the inhaler before physical activity prevents exercise-induced bronchospasm, a common issue in COPD. Skipping doses, using only during severe symptoms, or doubling the dose can lead to poor disease control or adverse effects.
Question 4 of 5
A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?
Correct Answer: A
Rationale: The oral mucosa is the most reliable indicator of central cyanosis, reflecting systemic oxygenation levels.
Question 5 of 5
A nurse is preparing to administer digoxin 1.5 mg PO to a client. The amount available is digoxin 0.5 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To determine the number of tablets, divide the prescribed dose by the dose per tablet: 1.5 mg ÷ 0.5 mg/tablet = 3 tablets. The answer is a whole number, so no rounding is needed.