ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A patient with chronic obstructive pulmonary disease (COPD) is being discharged home with a new prescription for an inhaled bronchodilator. Which instruction should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: Using the inhaler before physical activity prevents exercise-induced bronchospasm, a common issue in COPD. Skipping doses, using only during severe symptoms, or doubling the dose can lead to poor disease control or adverse effects.
Question 2 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 3 of 5
A nurse is caring for a client with regional enteritis (Crohn's disease). Which of the following symptoms should the nurse anticipate during assessment?
Correct Answer: C
Rationale: Abdominal pain and cramping are hallmark symptoms of Crohn's disease due to gastrointestinal inflammation.
Question 4 of 5
A client with diabetic ketoacidosis (DKA) is exhibiting rapid, deep respirations. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Administering IV fluids is the priority in DKA to correct dehydration and improve perfusion, addressing Kussmaul respirations.
Question 5 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.