ATI RN
ATI Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative and has an NG tube that has drained 2,500 mL in the past 6 hr. The nurse should monitor the client for which of the following electrolyte imbalances?
Correct Answer: B
Rationale: NG tube drainage can lead to loss of potassium, causing hypokalemia, which can result in cardiac dysrhythmias.
Question 2 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.
Question 3 of 5
A nurse is caring for a child following an open reduction and internal fixation of a fractured femur and application of a cast. The cast has a window cut in it for viewing of the incision. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Neurovascular checks are the priority to detect impaired circulation or nerve function post-surgery.
Question 4 of 5
A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a pneumothorax?
Correct Answer: D
Rationale: Absence of breath sounds indicates a pneumothorax, as air in the pleural space prevents lung expansion.
Question 5 of 5
A nurse is preparing a young adult client who has a hearing impairment for surgery. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Keeping hearing aids in place facilitates communication and maintains awareness, which is crucial for a client with a hearing impairment during preoperative preparations.