ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who will be receiving total parenteral nutrition (TPN) at home. Which of the following instructions should the nurse include? (Select all that apply.)
Correct Answer: A,D
Rationale: Infusing 10% dextrose prevents hypoglycemia if TPN is unavailable, and refrigerating TPN maintains stability. Shaking the bag or maintaining rate when behind can cause complications.
Question 2 of 5
A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood. Which of the following actions is the nurse's highest priority?
Correct Answer: D
Rationale: Increasing IV fluid rate is the priority to stabilize hypotension and restore blood volume in acute blood loss.
Question 3 of 5
A nurse is planning care for a client who is scheduled for a bronchoscopy. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: Ensuring NPO status prevents aspiration during bronchoscopy, a critical safety measure.
Question 4 of 5
Which assessment finding should the nurse expect to observe when evaluating the effectiveness of Buck's traction for a patient who has an intracapsular fracture of the right femur?
Correct Answer: D
Rationale: A decrease in hip pain indicates Buck's traction is effective in stabilizing the fracture and reducing discomfort.
Question 5 of 5
Which outcome is appropriate for the client problem of 'ineffective gas exchange' for the client diagnosed with chronic obstructive pulmonary disease (COPD)?
Correct Answer: D
Rationale: Improved oxygen saturation is a direct outcome of effective gas exchange in COPD.