ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Applying ice to the affected area is recommended to reduce swelling and pain after arthroscopic knee surgery.
Question 2 of 5
A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was
Correct Answer: B
Rationale: Hoarseness is often the earliest and most common symptom of laryngeal cancer. It occurs due to the involvement of the vocal cords.
Question 3 of 5
A nurse in the emergency department is caring for a client who was injured in a motor-vehicle crash. The client reports dyspnea and severe pain. The nurse notes that the client's chest moves inward during inspiration and bulges out during expiration. The nurse should identify this finding as which of the following?
Correct Answer: B
Rationale: Flail chest is characterized by paradoxical chest movement where a segment of the chest wall moves inward during inspiration and outward during expiration.
Question 4 of 5
A nurse is caring for a client is who has a deep vein thrombosis and is prescribed heparin by continuous IV infusion at 1,200 units/hr. Available is heparin 25,000 units in 500 mL D5W. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: B
Rationale: First, determine the concentration of the heparin solution: 25,000 units in 500 mL = 50 units/mL.
Then, calculate the rate: 1,200 units/hr ÷ 50 units/mL = 24 mL/hr.
Question 5 of 5
A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,E
Rationale: Placing a pillow under the client's head prevents head injury during a seizure. Loosening restrictive clothing helps prevent injury and allows for easier breathing.