ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
An acute pancreatitis patient who complains of muscle cramping. The nurse explains to the patient that is the typical sign and symptom of?
Correct Answer: B
Rationale: Hypocalcemia is a common sign of muscle cramping in acute pancreatitis due to the precipitation of calcium in the pancreas or surrounding tissues, leading to neuromuscular irritability and muscle spasms.
Question 2 of 5
A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Applying ice to the affected area is recommended after arthroscopic knee surgery to reduce swelling and pain. Ice helps control inflammation and promotes healing.
Extract:
Medical History
Client reports an injury to their right ribs after falling 6 feet from a ladder. Client reports pain as 8 on a scale of 0 to 10 over the right lower rib cage with ecchymosis. Client is dyspneic and respirations are shallow. Client states, It's hard for me to breathe.
Question 3 of 5
A nurse is reviewing the client's medical record. Which of the following prescriptions should the nurse anticipate for a client who has a pneumothorax?
| Options | Anticipated | Non-essential | Contraindicated |
|---|---|---|---|
| Obtain intravenous access | |||
| Thoracentesis | |||
| Prepare for insertion of a chest tube | |||
| Obtain ABGs (Arterial Blood Gases) | |||
| Computed tomography of the chest | |||
| Pulmonary function tests |
Correct Answer: A,C,D
Rationale: Obtaining IV access, preparing for a chest tube, and obtaining ABGs are anticipated for a pneumothorax to provide emergency access, remove air from the pleural space, and assess respiratory status. Thoracentesis and pulmonary function tests are contraindicated, and a CT scan is non-essential.
Extract:
Question 4 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 5 of 5
A nurse is performing a cardiac assessment on a client and auscultates an S3 sound. The nurse should recognize that this sound represents which of the following heart conditions?
Correct Answer: A
Rationale: An S3 heart sound is known as a ventricular gallop and occurs during the rapid filling phase of the ventricle in early diastole. It is commonly heard in conditions like heart failure, where the ventricles are overfilled, or in younger individuals with healthy hearts.