Questions 61

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ATI RN Test Bank

ATI Med Surg Final Exam I Questions

Extract:


Question 1 of 5

A patient with right lower-lobe pneumonia has been treated with intravenous antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective?

Correct Answer: A

Rationale: A decreased white blood cell count indicates the infection is resolving, showing antibiotic effectiveness.

Question 2 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 3 of 5

A nurse is planning care for a client who is scheduled for a bronchoscopy. Which of the following interventions should the nurse include in the plan?

Correct Answer: C

Rationale: Ensuring NPO status prevents aspiration during bronchoscopy, a critical safety measure.

Question 4 of 5

The nurse is preparing to administer sodium polystyrene sulfonate (Kayexalate) rectally to a patient with an irregular pulse and weakness of the lower extremities. What laboratory finding does the nurse determine is the reason for this treatment?

Correct Answer: B

Rationale: Sodium polystyrene sulfonate is used to treat hyperkalemia by exchanging sodium for potassium in the intestines, reducing blood potassium levels. Symptoms like irregular pulse and weakness support this diagnosis.

Question 5 of 5

A nurse is caring for a client who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 08:00 am. After checking the client's morning glucose level, which of the following actions should the nurse take?

Correct Answer: C

Rationale: Administering insulin at 07:30 allows it to take effect before breakfast, preventing hyperglycemia.

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