ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following client statements indicate an understanding of the teaching? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Elevating the head of the bed prevents reflux, reducing caffeine and spicy foods minimizes irritation, and avoiding weight gain reduces abdominal pressure. Lying down after meals increases reflux risk, and reducing fluid intake is not recommended.
Question 2 of 5
The nurse is caring for a client diagnosed with a myocardial infarction (MI) who is reporting severe chest pain. Which interventions should the nurse implement? (Select all that apply.)
Correct Answer: D,E
Rationale: Aspirin inhibits platelet aggregation, reducing clot formation, and oxygen improves myocardial oxygenation. Supine positioning, intramuscular morphine, and subcutaneous nitroglycerin are not appropriate.
Question 3 of 5
A 50-year-old male patient with a history of chronic alcoholism presents with fatigue, glossitis, and peripheral neuropathy. Laboratory findings show a hemoglobin level of 9.0 g/dL and mean corpuscular volume (MCV) of 110 fL. What type of anemia is most likely in this patient?
Correct Answer: B
Rationale: Vitamin B12 deficiency anemia, caused by malabsorption in chronic alcoholism, presents with macrocytic anemia, glossitis, and neuropathy.
Question 4 of 5
A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Checking for kinks is the first step to ensure no obstruction is preventing urine flow.
Question 5 of 5
A nurse is preparing to administer digoxin 1.5 mg PO to a client. The amount available is digoxin 0.5 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To determine the number of tablets, divide the prescribed dose by the dose per tablet: 1.5 mg ÷ 0.5 mg/tablet = 3 tablets. The answer is a whole number, so no rounding is needed.