ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: The Rinne test uses a tuning fork to compare air and bone conduction. Earphones, probes, and electrodes are unrelated.
Question 2 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.
Question 3 of 5
An older client is brought to the ED with numbness and weakness of the left arm and slurred speech starting 30 minutes prior to arrival. Which nursing intervention is a priority?
Correct Answer: A
Rationale: A STAT CT head is critical to diagnose a stroke, guiding treatment. rtPA requires imaging confirmation, speech consult is secondary, and discussing factors delays urgent care.
Question 4 of 5
A nurse is completing an 8-hour intake and output (I&O) record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?
Correct Answer: B
Rationale:
Total intake is calculated as: 4 oz juice (120 mL), 6 oz tea (180 mL), 100 mL ice chips (50 mL, half volume), 150 mL IV bolus, 8 oz broth (240 mL), summing to 740 mL. 700 mL is closest, accounting for practical rounding.
Question 5 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.