ATI RN
ATI Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in the medical record?
Correct Answer: A
Rationale: The postictal phase involves drowsiness or sleepiness following a seizure.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. The nurse should recognize that which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Phenytoin is a long-term treatment, and stopping it abruptly can lead to seizure recurrence, indicating a need for further education.
Question 3 of 5
A nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of the following clinical manifestations should the nurse expect to find? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Nausea, diaphoresis, and tachycardia are common manifestations of MI due to autonomic and sympathetic nervous system activation.
Question 4 of 5
A nurse is collecting data from a client whose arterial blood gas values reveal a pH of 7.24, PaCO2 of 53, and an HCO3 of 24. The nurse should prepare to treat the client for which of the following acid-base imbalances?
Correct Answer: A
Rationale: Low pH and elevated PaCO2 indicate respiratory acidosis due to inadequate ventilation.
Question 5 of 5
A nurse is reinforcing teaching about breast self-examination (BSE) with a client who has a regular menstrual cycle. The nurse should instruct the client to perform BSE at which of the following times?
Correct Answer: A
Rationale: Performing BSE a few days after menstruation reduces hormonal influences on breast tissue.