ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The client Is in the intensive care unit on a ventilator. Which intervention(s) should the nurse implement? (SELECT ALL THAT APPLY)
Correct Answer: A,B,E
Rationale: Hourly respiratory assessments detect changes early, a manual resuscitation bag is essential for emergencies, and collaboration with respiratory therapists ensures proper ventilator management. Pulse oximetry should be continuous, and nurses typically do not adjust ventilator settings.
Question 2 of 5
The nurse is assessing a client who is postoperative following a cholecystectomy. The client reports right shoulder pain. Which action should the nurse take first?
Correct Answer: D
Rationale: Right shoulder pain post-cholecystectomy is likely referred pain from diaphragmatic irritation (phrenic nerve). Notifying the provider ensures evaluation for complications like bile leak.
Question 3 of 5
The nurse is caring for client who is diagnosed with hypertrophic cardiomyopathy. Which medical Intervention should the nurse anticipate for the complications of dysrhythmias?
Correct Answer: A
Rationale: A cardioverter-defibrillator is used to manage life-threatening ventricular arrhythmias in hypertrophic cardiomyopathy. Nitrates worsen obstruction, transplantation is for end-stage failure, and stents treat coronary artery disease.
Question 4 of 5
The nurse is caring for a client with a history of seizures who is prescribed phenytoin. Which laboratory value should the nurse monitor?
Correct Answer: B
Rationale: Phenytoin can cause hepatotoxicity, so monitoring liver function tests is essential to detect potential liver damage.
Question 5 of 5
The nurse is caring for a client who has a nasogastric (NG) tube in place. Which action should the nurse take to verify tube placement?
Correct Answer: B
Rationale: Checking the pH of gastric aspirate (pH < 5) confirms NG tube placement in the stomach, a non-invasive and reliable method.