ATI RN
ATI Nur258 Med Surg 2 Final Exam Questions
Extract:
History and Physical
Day 1
Client works as a firearms instructor at a shooting range.
Hypertension
Heart failure
Osteoarthritis
Medication Administration Record
Day 1:
Gentamycin 500 mg by mouth (PO) daily
Bumetanide 2 mg PO daily
Naproxen 250 mg PO daily
Nurses' Notes
6 months later:
Client reports having trouble hearing in noisy places.
Client states they are hearing sounds as muffled.
Diagnostic Results
6 months later:
Audiometer test with hearing loss at 39 dB
Question 1 of 5
A nurse is reviewing a client's medical record. Select the 4 findings that place the client at risk for hearing impairment.
Correct Answer: B,C,D,E
Rationale: Employment at a shooting range, gentamycin, naproxen, and bumetanide are risk factors for hearing impairment due to noise exposure and ototoxicity.
Extract:
Question 2 of 5
A nurse is caring for a client who has been exposed to anthrax. Which of the following interventions should the nurse plan to use while caring for this client?
Correct Answer: D
Rationale: Assessing the respiratory system is crucial for clients exposed to anthrax, particularly inhalation anthrax, as it can cause severe respiratory symptoms and complications. Prompt assessment is essential for early detection and treatment of respiratory distress.
Question 3 of 5
A nurse is teaching a student nurse about the effects of vasopressin that is prescribed for a client with diabetes insipidus. Which statement by the student nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Vasopressin acts to decrease urine output by increasing water reabsorption in the kidneys, which helps manage diabetes insipidus.
Extract:
Nurses' Notes
0800:
Lungs clear to auscultation in all lobes anterior and posterior. Intravenous (IV) 0.9% sodium chloride infusing into left forearm at 125 mL/hr. Bowel sounds hypoactive in all four quadrants. Abdomen soft and tender to palpation. Abdominal dressing dry and intact. Scant vaginal bleeding observed. Intermittent pneumatic compression devices observed on bilateral lower extremities. Foley catheter intact and patent draining to bedside bag. Instructed client to turn and cough every 2 hrs. while awake. Demonstrated splinting incision with pillow when coughing
1000:
Attempted to assist client with turning and coughing.
Vital Signs
1000:
Temperature 37.3° C (99.14° F)
Blood pressure 116/76 mm Hg
Heart rate 90/min
Respiratory rate 20/min
SpO2 93% on room air
Question 4 of 5
Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing....,.........and....
Correct Answer: A,B,C
Rationale: Postoperative clients are at risk for pneumonia due to reduced lung expansion, DVT due to immobility, and pressure injuries from prolonged bed rest.
Extract:
Question 5 of 5
A nurse is interviewing a client who has acute pancreatitis. Which of the following statements by the client would the nurse identify as a risk factor for pancreatitis?
Correct Answer: A
Rationale: Cholelithiasis (gallstones) is a known risk factor for acute pancreatitis, as gallstones can block the bile duct and lead to inflammation of the pancreas.