ATI RN
ATI n269 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse assists a patient into which position in preparation for a diagnostic thoracentesis?
Correct Answer: A
Rationale: The optimal position for a thoracentesis is sitting upright with the patient leaning forward slightly, with elbows resting on an over-bed table to help expose the pleural space for access. This position allows gravity to pull the lungs downward and facilitates easier access to the pleural cavity.
Question 2 of 5
The nurse is caring for a patient with obesity who is being considered for bariatric surgery. Which do the criteria guidelines for bariatric surgery include?
Correct Answer: D
Rationale: A BMI of 40 kg/m² or more is the standard criteria for bariatric surgery, particularly when other treatments (such as diet, exercise, and medication) have failed, or when obesity-related health issues are present.
Question 3 of 5
Which safety measure is most important for the nurse to institute for a patient who has Cushing Syndrome?
Correct Answer: B
Rationale: Assisting the patient to change positions slowly is the most important safety measure for a patient with Cushing's syndrome. Patients with Cushing's syndrome often have osteoporosis and a risk of fractures due to prolonged exposure to high cortisol levels, which can lead to weakened bones. Orthostatic hypotension may also occur, so changing positions slowly can prevent falls.
Question 4 of 5
A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administer oral corticosteroids: This is the correct action. Clients with Addison's disease have insufficient cortisol production, especially during times of stress or illness. Oral corticosteroids, such as hydrocortisone, are given to replace the deficient hormones and prevent or manage an Addisonian crisis.
Question 5 of 5
Which action would the nurse take first for a patient with a tracheostomy who appears anxious and is having difficulty in coughing up thick respiratory secretion?
Correct Answer: C
Rationale: Suctioning the tracheostomy is the priority action in this situation. When a patient with a tracheostomy has difficulty clearing thick secretions, suctioning is the most effective way to relieve the obstruction and improve airflow, thereby addressing the immediate respiratory distress.