ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory values of a client who had a myocardial infarction 3 hours ago. The nurse should expect which of the following laboratory values to be elevated?
Correct Answer: D
Rationale: Troponin I is the most specific marker for myocardial infarction, indicating cardiac muscle damage. Amylase relates to pancreatitis, AST is less specific, and bilirubin is for liver function.
Question 2 of 5
A client arrives at the healthcare setting currently taking atorvastatin (Lipitor) daily. Which assessment finding associated with atorvastatin (Lipitor) would need immediate reporting to the healthcare provider?
Correct Answer: C
Rationale: Dark-red urine suggests rhabdomyolysis, a serious statin side effect requiring immediate attention. Headaches, hyperglycemia, and night sweats are less urgent.
Question 3 of 5
A nurse is caring for a client who is postoperative following an open reduction and internal fixation (ORIF) of a fractured femur. Which of the following interventions is the most important for the nurse to complete in the postoperative period?
Correct Answer: C
Rationale: Neurovascular checks detect complications like compartment syndrome or impaired blood flow, critical post-ORIF. Exercises prevent thrombosis, pain management aids comfort, and crutch instruction supports mobility, but neurovascular status is priority.
Question 4 of 5
A nurse is caring for a 75-year-old client with aspiration pneumonia. The nurse should recognize what age-related change can contribute to the development of aspiration pneumonia?
Correct Answer: D
Rationale: A diminished cough reflex in older adults increases aspiration pneumonia risk by failing to clear airway secretions. Joint changes, gastric secretions, and smell sense are less relevant.
Question 5 of 5
The nurse is caring for a client currently taking oxymetazoline. Which of the following statements should the nurse include regarding oxymetazoline?
Correct Answer: C
Rationale: Oxymetazoline, a nasal decongestant, should be limited to 3 days to avoid rebound congestion. It's not for heart failure, acts rapidly, and doesn't cause drowsiness.