ATI RN
ATI n269 Med Surg Comprehensive Exam 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: A
Rationale: Applying ice to the affected area is recommended after arthroscopic knee surgery to reduce swelling and pain. Ice helps control inflammation and promotes healing.
Question 2 of 5
A nurse is assessing a client who has right-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Peripheral edema is a classic sign of right-sided heart failure, as blood backs up in the systemic circulation, causing fluid retention, especially in the lower extremities.
Question 3 of 5
A nurse on a telemetry unit is caring for a client who has unstable angina and is reporting chest pain with a severity of 6 on a 0 to 10 scale. The nurse administers 1 sublingual nitroglycerin tablet. After 5 min, the client states that his chest pain is now a severity of 2. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Obtaining an ECG is the appropriate action to assess for any changes in the heart's electrical activity that may indicate worsening ischemia or other complications, such as a myocardial infarction. Even though the pain has decreased, it is important to evaluate the underlying cause of the chest pain, particularly with unstable angina.
Question 4 of 5
A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Defibrillation is the priority action for a client in ventricular fibrillation. This life-threatening arrhythmia causes the heart to quiver rather than pump effectively, and defibrillation is the only way to restore a normal rhythm. Immediate defibrillation is critical to prevent death.
Question 5 of 5
A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Cortisol replacement therapy is essential for children with Addison's disease because the condition involves insufficient production of cortisol, a hormone vital for stress response and metabolism. Teaching parents about this therapy is a key nursing intervention to ensure proper management of the disease.