ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?
Correct Answer: C
Rationale: NSAID use inhibits prostaglandins protecting the stomach lining, increasing peptic ulcer risk. Moderate alcohol and bulimia may contribute but are less significant, and green tea is generally beneficial.
Question 2 of 5
A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
Correct Answer: C
Rationale: A bath seat reduces shower fall risk. Ceiling lights disrupt sleep, distant walkers are inaccessible, and rugs are tripping hazards.
Question 3 of 5
A nurse is caring for a client who has end-stage kidney disease (ESKD) and reports having shortness of breath and swelling in his lower extremities. Upon assessment, the nurse notes the client has crackles in his lungs and elevated blood pressure. The nurse should suspect which of the following based on the client's manifestations?
Correct Answer: C
Rationale: Hypervolemia causes edema, shortness of breath, crackles, and hypertension in ESKD due to fluid retention. Hyperkalemia and hyponatremia affect electrolytes, hypovolemia causes hypotension.
Question 4 of 5
A client is prescribed antibiotics while pending the results of their wound culture. The nurse understands this method of medication therapy is known as:
Correct Answer: C
Rationale: Empiric therapy involves administering antibiotics based on clinical signs before culture results confirm the infection's cause, aiming to manage infections promptly. Supplemental therapy enhances primary treatment, and replacement therapy restores deficient substances, neither applicable here.
Question 5 of 5
A nurse is caring for a client who arrived at the post anesthesia care unit (PACU) following a right knee arthroscopy. The client is not yet responding to verbal stimuli. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: Lateral positioning prevents aspiration in unresponsive clients, prioritizing airway safety. Blankets, pulses, and dressings are secondary.