ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has an implantable cardioverter/defibrillator (ICD). Which of the following information should the nurse include?
Correct Answer: B
Rationale: The client should hold his cell phone on the side opposite the ICD to avoid interference with the ICD's functioning.
Extract:
Medical History
Client reports an injury to their right ribs after falling 6 feet from a ladder. Client reports pain as 8 on a scale of 0 to 10 over the right lower rib cage with ecchymosis. Client is dyspneic and respirations are shallow. Client states, "It's hard for me to breathe."
Nurses' Notes
Client appears anxious and tachypneic. Respirations are labored and shallow. Lung sounds absent in the right lower lobe. Skin is cool and slightly cyanotic.
Vital Signs
Temperature 36.2° C (98.4° F) Pulse 120/min; regular
Respiratory rate 38/min
Blood pressure 92/64 mm Hg
O saturation 85% on room air
Question 2 of 5
A nurse is reviewing the client's medical record. Which of the following prescriptions should the nurse anticipate for a client who has a pneumothorax? For each potential provider's prescription, click to specify if the potential prescription is anticipated, non-essential, or contraindicated for the client.
| Options | Anticipated | Non-essential | Contraindicated |
|---|---|---|---|
| Obtain intravenous access | |||
| Thoracentesis | |||
| Pulmonary Function Tests (PFTS) | |||
| Prepare for insertion of a chest tube | |||
| Obtain ABGS | |||
| Computed tomography (CT) of the chest |
Correct Answer: A,D,E,F
Rationale: IV access, chest tube insertion, ABGs, and CT of the chest are anticipated to manage and diagnose the extent of the pneumothorax.
Extract:
Question 3 of 5
A nurse is teaching a client who is receiving treatment for metastatic colorectal cancer about the adverse effects of bevacizumab. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?
Correct Answer: A
Rationale: Nosebleeds (epistaxis) are a common adverse effect of bevacizumab, as it can cause bleeding due to its anti-angiogenic properties.
Question 4 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.
Question 5 of 5
A nurse is caring for a client who is diabetic and reports a headache, restlessness, fatigue, and hunger. The nurse should identify that the client is likely experiencing which of the following conditions?
Correct Answer: C
Rationale: Hypoglycemia presents with symptoms including headache, restlessness, fatigue, and hunger.