ATI RN
ATI Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. The client's BUN is 32 mg/dL, creatinine 1.1 mg/dL, and hematocrit 50%. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Evaluating urine output and specific gravity assesses renal function and fluid balance, especially with an elevated BUN suggesting possible dehydration.
Question 2 of 5
A nurse is caring for a client who has a bowel obstruction and a new prescription for the insertion of a nasogastric tube. Which of the following interventions should the nurse take when inserting the nasogastric tube?
Correct Answer: A
Rationale: Placing the chin to the chest and swallowing facilitates nasogastric tube passage into the esophagus.
Question 3 of 5
A nurse is measuring the vital signs of a client he suspects has hypovolemic shock. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Low blood pressure and high pulse rate are indicative of hypovolemic shock, with the high pulse rate being a compensatory mechanism to maintain cardiac output.
Question 4 of 5
A nurse is reinforcing teaching with a client who is to start taking enteric-coated naproxen for rheumatoid arthritis. Which of the following client statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Crushing enteric-coated tablets disrupts their intestinal release, potentially causing stomach irritation.
Question 5 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.