ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?
Correct Answer: C
Rationale: Chronic blood loss from inflamed intestinal lining in ulcerative colitis is a major cause of anemia.
Question 2 of 5
A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood. Which of the following actions is the nurse's highest priority?
Correct Answer: D
Rationale: Increasing IV fluid rate is the priority to stabilize hypotension and restore blood volume in acute blood loss.
Question 3 of 5
A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?
Correct Answer: A
Rationale: The oral mucosa is the most reliable indicator of central cyanosis, reflecting systemic oxygenation levels.
Question 4 of 5
The nurse is caring for a patient who has a pelvic fracture and an external fixation device. How should the nurse perform assessment of pressure areas and provide skin care to the patient's back and sacrum?
Correct Answer: A
Rationale: Using a trapeze allows safe assessment of pressure areas without risking further injury in a patient with a pelvic fracture.
Question 5 of 5
A client was seen in the emergency room with a complaint of severe episodes of vomiting and diarrhea, and complains of feeling lightheaded. Which laboratory test should the nurse prioritize?
Correct Answer: B
Rationale: Serum potassium levels are critical due to potential electrolyte loss from vomiting and diarrhea, which can cause cardiac and neuromuscular issues.