ATI RN
ATI Nur201 FA2 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who states, 'I am afraid that I may fall while walking to the bathroom during the night.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Obtaining a bedside commode allows the client to void safely without walking to the bathroom, reducing the risk of falls.
Question 2 of 5
The night nurse in the cardiac ICU has just received a report on several patients. Which of the following clients should the nurse prioritize for rounds?
Correct Answer: A
Rationale: A patient with a new-onset of confusion and restlessness is a priority because these symptoms could indicate a serious condition such as hypoxia, electrolyte imbalance, or a neurological event like a stroke. These changes in mental status need to be evaluated immediately to prevent further complications.
Question 3 of 5
A client prescribed albuterol sulfate by inhalation is unable to cough up secretions. What actions should the nurse teach the client to help clear bronchial secretions effectively?
Correct Answer: C
Rationale: Increasing the amount of fluids consumed helps to thin bronchial secretions, making them easier to cough up, which is an effective method for managing secretions.
Question 4 of 5
A client is admitted to the hospital with a myasthenic crisis. The nurse should anticipate which potential precipitating factors for this event?
Correct Answer: C
Rationale: Taking too little of the prescribed medication is the primary precipitating factor for a myasthenic crisis. Inadequate levels of medication lead to insufficient acetylcholine at neuromuscular junctions, causing severe muscle weakness and potentially life-threatening respiratory failure.
Question 5 of 5
A client received atropine intraoperatively for symptomatic sinus bradycardia during a cardiac catheterization. In the immediate postoperative period, the nurse monitors the client for which effects of the medication?
Correct Answer: A
Rationale: Atropine, an anticholinergic, can cause urinary retention by relaxing bladder smooth muscles, inhibiting voiding.