ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has just had spinal surgery. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Neurological checks every 2 hours are essential post-spinal surgery to monitor for changes or deterioration in neurological status.
Question 2 of 5
A nurse is instructing a client on how to decrease the nausea associated with chemotherapy and radiation. Which of the following statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: Eating foods at room temperature can help reduce nausea because strong odors from hot foods can increase the feeling of nausea.
Question 3 of 5
A nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). Which of the following complications is the priority for the nurse to monitor?
Correct Answer: B
Rationale: Hemorrhage is a significant risk after TURP and can be life-threatening. It is considered a priority because active bleeding can lead to shock and requires immediate intervention.
Question 4 of 5
A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?
Correct Answer: B
Rationale: Hyperkalemia, which is a high level of potassium in the blood, is a common electrolyte imbalance seen in prerenal AKI due to decreased kidney function and the inability to excrete potassium.
Question 5 of 5
A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alterations?
Correct Answer: D
Rationale: Cheyne-Stokes respirations are characterized by a cyclic pattern of increasing and decreasing tidal volumes followed by periods of apnea, fitting the description provided.