ATI RN
ATI Med Surg Exam 6 Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult who has been experiencing severe Clostridium difficile-related diarrhea. When reviewing the patient's most recent laboratory tests, the nurse should prioritize which of the following?
Correct Answer: B
Rationale: Severe diarrhea from Clostridium difficile can cause significant electrolyte imbalances, particularly hypokalemia, making potassium level monitoring critical.
Extract:
Amylase 450 units/L (20 to 220 units/L)
Lipase 280 units/L (0 to 160 units/L)
WBC count 12.500/mm3 (5,000 to 10,000/mm3) RBC count 3.9 (4.2 to 5.4)
Hemoglobin 8 g/dL (12 g/dL to 16 g/dL for female: 14 to 18 g/dL for male)
Hematocrit 24% (37% to 47% for female: 42% to 52% for male) Platelet count 160,000/mm3 (150,000 to 400,000/mm3)
Blood glucose level 250 mg/dL (less than 200 mg/dL)
Question 2 of 5
A nurse is caring for a client who has acute pancreatitis. When prioritizing client needs, the nurse should first address the ........ followed by ...........
Correct Answer: A,B
Rationale: Hyperglycemia (blood glucose 250 mg/dL) can worsen pancreatic inflammation, and anemia (hemoglobin 8 g/dL) impairs oxygen delivery, making these the top priorities.
Extract:
Question 3 of 5
A nurse is assessing a patient who has just been admitted to the postsurgical unit following surgical resection for the treatment of oropharyngeal cancer. What assessment should the nurse prioritize?
Correct Answer: B
Rationale: A patent airway is the top priority post-surgery for oropharyngeal cancer to ensure effective breathing and prevent life-threatening complications.
Question 4 of 5
A patient's new onset of dysphagia has required insertion of an NG tube for feeding; the nurse has modified the patient's care plan accordingly. What intervention should the nurse include in the patient's plan of care?
Correct Answer: C
Rationale: Confirming the placement of the NG tube prior to each medication administration is crucial to ensure safe and effective delivery of medications and nutrition, preventing complications such as aspiration.
Question 5 of 5
A patient's NG tube has become clogged after the nurse instilled a medication that was insufficiently crushed. The nurse has attempted to aspirate with a large-bore syringe, with no success. What should the nurse do next?
Correct Answer: B
Rationale: Using warm water with an in-and-out motion is a standard and safe method to attempt unclogging an NG tube before considering more invasive measures.