ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which nursing action should the nurse complete first?
Correct Answer: B
Rationale: Assessing pulse and respirations establishes baseline vital signs, ensuring the client can tolerate postural drainage. Sputum assessment, pursed-lip instruction, and lung auscultation are important but follow vital sign assessment for safety.
Question 2 of 5
A nurse is preparing to administer gabapentin 900 mg PO once daily for a client who has neuropathic pain. The amount available is gabapentin 300 mg/capsule. How many capsules should the nurse administer per dose?
Correct Answer: B
Rationale: Calculate: 900 mg ÷ 300 mg/capsule = 3 capsules per dose.
Question 3 of 5
A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse that the client's peristalsis is returning?
Correct Answer: A
Rationale: Passage of flatus indicates returning gastrointestinal function. Appetite is indirect, hypoactive sounds suggest reduced activity, and distention signals delayed function.
Question 4 of 5
A nurse is caring for a client who has returned to the unit following a surgical procedure. The client's oxygen saturation is 85%. Which action should the nurse take first?
Correct Answer: D
Rationale: Administering oxygen at 2 L/min immediately improves low saturation. X-rays, bed elevation, and analgesics are secondary.
Question 5 of 5
A client is diagnosed with atrial fibrillation and has experienced a transient ischemic attack (TI
Correct Answer: B
Rationale: Oral anticoagulants are used in atrial fibrillation with a history of TIA to prevent blood clots and reduce stroke risk. Diuretics treat fluid overload, beta blockers control heart rate, and antihyperuricemic drugs manage gout, none addressing thromboembolism risk.