ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A patient with osteoarthritis is scheduled for a total knee arthroplasty. The nurse identifies that the surgery will be postponed if the patient experiences which condition?
Correct Answer: C
Rationale: Infection is a critical factor that would delay surgery. If the patient has an active infection, particularly in the joint or surrounding tissues, the risk of spreading the infection during surgery is high, and the procedure would need to be postponed until the infection is resolved.
Question 2 of 5
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Dehydration is a common finding in diabetes insipidus. The condition causes excessive urination (polyuria) due to a deficiency of antidiuretic hormone (ADH) or resistance to it, leading to a significant loss of water and subsequent dehydration if fluid intake is not sufficient to compensate.
Question 3 of 5
Which finding in the patient's history increases the risk for acute pancreatitis?
Correct Answer: A
Rationale: Alcohol abuse is a major risk factor for acute pancreatitis. Chronic alcohol consumption can lead to inflammation of the pancreas and increase the likelihood of pancreatic injury.
Question 4 of 5
A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification?
Correct Answer: A
Rationale: Administering 0.9% normal saline at 50 mL/hr continuous is not appropriate for a client with acute heart failure. This solution is isotonic and may contribute to fluid overload, which could worsen the heart failure. In acute heart failure, fluids are typically restricted, and intravenous solutions with a lower sodium content or diuretics are preferred to help manage fluid balance.
Question 5 of 5
A nurse is caring for a client who had a left hip arthroplasty. Which of the following interventions should the nurse use to prevent dislocation?
Correct Answer: D
Rationale: Maintaining a foam wedge between the legs is the most effective intervention to prevent hip dislocation. The wedge keeps the hips in proper alignment and prevents excessive internal rotation or adduction, which are common causes of dislocation after hip arthroplasty.