ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
For each potential precaution, click to specify if the precaution is indicated or contraindicated for a client who has had a total hip arthroplasty.
| Options | Indicated | Contraindicated |
|---|---|---|
| Request an antiemetic medication | ||
| Encourage the client to cough and deep breathe every 2 hr | ||
| Ensure an abductor pillow is in place while the client is in bed | ||
| Anticipate the administration of antibiotics | ||
| Obtain a culture of the drainage from the surgical site |
Correct Answer: B,C,D,E
Rationale: Encouraging coughing and deep breathing, using an abductor pillow, administering antibiotics, and obtaining a culture are indicated to prevent respiratory complications, hip dislocation, and infections. Antiemetics are contraindicated unless nausea is present.
Question 2 of 5
A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic. It helps retain - retain potassium while excreting sodium and water, which increases the risk for hyperkalemia (high potassium) and hyponatremia (low sodium) when used in combination with other medications that affect electrolyte balance.
Question 3 of 5
A nurse is planning to calculate a client's cardiac output. Which of the following data should the nurse obtain to calculate the cardiac output?
Correct Answer: D
Rationale: Heart rate is one of the key components in calculating cardiac output, along with stroke volume. Cardiac output is calculated by multiplying the heart rate (beats per minute) by the stroke volume (the amount of blood pumped by the heart per beat). This provides the total amount of blood the heart pumps per minute.
Question 4 of 5
A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the client's restored rhythm is symptomatic bradycardia?
Correct Answer: D
Rationale: Atropine is the first-line medication for symptomatic bradycardia. It works by blocking the parasympathetic effects on the heartI work to create a system that uses minimal resources while still getting the job done. I aim to be transparent straightforward and efficient avoiding unnecessary complexity. If you have questions or need assistance feel free to ask 'I'm here to help with clear no-nonsense answers.
Question 5 of 5
A nurse is caring for a client who is postoperative following an open cholecystectomy. Which of the following actions should the nurse take when caring for the client's Jackson-Pratt (JP) drain?
Correct Answer: A
Rationale: After emptying a Jackson-Pratt drain, the air must be expelled from the bulb to re-establish suction. This helps maintain negative pressure, ensuring the effective drainage of fluid from the surgical site.