ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A patient who had open reduction and internal fixation (ORIF) of left lower leg fractures continues to report severe pain in the leg 15 minutes after receiving the prescribed IV morphine. The nurse determines pulses are faintly palpable and the foot is cool to the touch. Which action should the nurse take next?
Correct Answer: B
Rationale: Faint pulses and a cool foot suggest compartment syndrome, a medical emergency. Notifying the provider is the priority to ensure prompt intervention.
Extract:
Vital Signs
Nurses' Notes
Diagnostic Results
Day 3, 0700:
Temperature: 37.3°C (99.1°F)
Blood pressure: 112/62 mmHg
Heart rate: 84/min
Respiratory rate: 20/min
Pulse oximetry: 97% on room air
Day 3, 1130:
Temperature: 37.8°C (100°F)
Blood pressure: 104/56 mmHg
erature: 37.8°C (100°F) o Blood pressure: 104/56 mmHg
Question 2 of 5
A nurse is caring for a 28-year-old male client with type 1 diabetes mellitus in the medical-surgical unit on day 3 of hospitalization. Select the two findings that require immediate follow-up:
| Glucose at 1130 |
| Client report of shakiness |
| Temperature |
| Oxygen saturation |
Correct Answer: A,B
Rationale: A glucose level of 55 mg/dL and symptoms like shakiness indicate hypoglycemia, requiring immediate intervention to prevent severe complications.
Extract:
Question 3 of 5
A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following laboratory values should the nurse review before administering furosemide?
Correct Answer: B
Rationale: Potassium levels must be reviewed before administering furosemide, a diuretic that can cause hypokalemia, risking cardiac arrhythmias.
Question 4 of 5
A client is admitted to the emergency department with a magnesium level of 1.2 mg/dL. The nurse is aware that a likely cause of the value is which of the following:
Correct Answer: A
Rationale: Alcoholism is a common cause of hypomagnesemia due to poor dietary intake, increased renal excretion, and gastrointestinal losses. Dehydration typically elevates magnesium levels, kidney failure causes hypermagnesemia, and excessive magnesium intake leads to hypermagnesemia.
Question 5 of 5
A nurse is observing the closed chest drainage system of a client who is 24 hours post thoracotomy. The nurse notes fluctuation in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Fluctuations in the suction control chamber are normal and indicate a functioning system, so monitoring is appropriate.