ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse that the client's peristalsis is returning?
Correct Answer: A
Rationale: Passage of flatus indicates returning gastrointestinal function. Appetite is indirect, hypoactive sounds suggest reduced activity, and distention signals delayed function.
Question 2 of 5
A nurse is caring for a client who has end-stage kidney disease (ESKD) and reports having shortness of breath and swelling in his lower extremities. Upon assessment, the nurse notes the client has crackles in his lungs and elevated blood pressure. The nurse should suspect which of the following based on the client's manifestations?
Correct Answer: C
Rationale: Hypervolemia causes edema, shortness of breath, crackles, and hypertension in ESKD due to fluid retention. Hyperkalemia and hyponatremia affect electrolytes, hypovolemia causes hypotension.
Question 3 of 5
The nurse is administering a controlled substance that falls into the category of Schedule I. Which of the following displays the appropriate abuse potential for Schedule I drugs?
Correct Answer: D
Rationale: Schedule I drugs have the highest abuse potential and no accepted medical use. Lower potentials apply to Schedules III-V.
Question 4 of 5
A nurse is measuring a client's oral temperature. The client informs the nurse that he has just eaten some ice chips. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Waiting 30 minutes allows the oral cavity to return to normal temperature, ensuring an accurate reading. Immediate measurement, documentation without action, or warm water skews results.
Question 5 of 5
A nurse is teaching a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: The Rinne test uses a tuning fork to compare air and bone conduction. Earphones, probes, and electrodes are unrelated.