ATI RN
ATI Med Surg Nursing 200 Exam Questions
Extract:
Question 1 of 5
The client diagnosed with vitamin B12 deficiency presents to the outpatient department for the follow-up evaluation. Which nursing assessment finding indicates that the treatment has been effective? The client:
Correct Answer: B
Rationale: Resolution of paresthesia indicates effective B12 treatment, as it addresses neurological symptoms of deficiency.
Question 2 of 5
The nurse has obtained assessment data for a client who is scheduled for a cardiac angiogram (catheterization). Which information must the nurse report to the health care provider prior to the procedure?
Correct Answer: B
Rationale: Multiple allergies must be reported as they may affect the choice of contrast agents or medications, potentially preventing adverse reactions during the procedure.
Question 3 of 5
A client who is mentally impaired is incontinent of stool. What is the nurse's best intervention to help prevent skin breakdown?
Correct Answer: B
Rationale: Frequent checks for soiling allow prompt cleaning, reducing skin exposure to irritants and preventing breakdown.
Question 4 of 5
The nurse is providing care for a client diagnosed with cardiovascular disease and hypertension who is complaining of chest pain. Which medication should the nurse administer?
Correct Answer: D
Rationale: Nitroglycerin is the appropriate choice for acute chest pain as it dilates coronary arteries, improving blood flow to the heart. Furosemide, diltiazem, and metoprolol do not act quickly enough to relieve acute anginal pain.
Question 5 of 5
The nurse obtains the following arterial blood gas results on a client: pH 7.2, PaO2 88 mmHg, PaCO2 40 mmHg, HCO3 19 mEq/L. Which acid-base imbalance is the client experiencing?
Correct Answer: D
Rationale: Low pH (7.2) and low bicarbonate (19 mEq/L) indicate metabolic acidosis, likely due to acid accumulation or base loss.