ATI RN
ATI Nur 175 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse has just received a change-of-shift report on the following four clients. Which client should the nurse see first?
Correct Answer: B
Rationale: While the client with a subarachnoid hemorrhage needs close monitoring, the administration of nimodipine is essential but not immediately life-threatening compared to the post-tPA monitoring requirements. This client received tissue plasminogen activator (tP
A) 8 hours ago, which is critical for treating ischemic stroke. They are at a high risk of complications such as bleeding and must be monitored closely for any signs of adverse effects, making them the priority. The client with chronic atrial fibrillation due for warfarin can be attended to after addressing more urgent needs. Chronic atrial fibrillation management is important, but it is less urgent than post-tPA care. The client who experienced a transient ischemic attack and is due for aspirin is stable compared to the client who recently received tPA. While aspirin is important for preventing further strokes, it does not require the same level of immediate monitoring as the post-tPA client.
Question 2 of 5
The nurse is completing a health assessment and medical history on a recently married, 26-year-old transgender male at the clinic. While completing the client's health history, you find the client started taking oral testosterone about one month ago. What would be the priority education about testosterone for this client?
Correct Answer: A
Rationale: This statement is a priority because testosterone therapy can significantly impact fertility. Clients should be informed about the potential effects on their reproductive health, including the possibility of reduced fertility or infertility. This knowledge allows them to make informed decisions about fertility preservation before starting hormone therapy. While an increase in muscle mass is a common and expected effect of testosterone therapy, it is not as critical as discussing the potential impact on fertility. Increased muscle mass is generally seen as a desired outcome for transgender men undergoing hormone therapy. Acne is a known side effect of testosterone therapy, but it is not as high of a priority compared to the long-term implications of fertility. Acne can be managed with appropriate skincare and treatment. Changes in emotion or mood can occur with hormone therapy, but they are generally considered part of the overall effects of transitioning. These changes are important to monitor but are not as immediately critical as the impact on fertility.
Question 3 of 5
Which nursing action is completed during phase III of post anesthesia care?
Correct Answer: A
Rationale: Phase III focuses on preparing the patient for discharge, including teaching.
Question 4 of 5
What are some common side effects of tricyclic antidepressants (TCAs)?
Correct Answer: B,D
Rationale: TCAs commonly cause weight changes and sexual dysfunction.
Question 5 of 5
A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Adjusting the flow rate without guidance can cause oxygen toxicity or hypoxia.