ATI RN
ATI Med Surg Pharm Comprehensive Exam 1 Questions
Extract:
Question 1 of 5
The nurse inspects the airway. There is no visible trauma, and the airway appears to be patent. What other assessment items are included in the primary survey? Select all that apply.
Correct Answer: B,D,F
Rationale: Assessment of circulation is critical in the primary survey to identify and manage life-threatening conditions such as shock or severe bleeding. Assessing ventilation is a crucial part of the primary survey. Exposure is part of the primary survey, ensuring that the client is completely exposed for a thorough assessment while protecting their privacy and warmth.
Question 2 of 5
The nurse collects blood from the client during peripheral IV line placement. What laboratory specimens would the nurse expect for the provider to order? Select all that apply.
Correct Answer: A,B,C,D,E,F,G
Rationale: A complete blood count is commonly ordered to assess overall health and detect conditions like anemia or infection. Electrolytes are checked to evaluate fluid and electrolyte balance. BUN and creatinine are used to assess kidney function. Coagulation studies are important to evaluate bleeding risk. Blood cultures may be ordered if infection is suspected. Blood glucose is relevant for metabolic assessment.
Question 3 of 5
A nurse is caring for a client who ingested a poison and is now experiencing a seizure. Which of the following is the priority action the nurse should take?
Correct Answer: A
Rationale: Checking the patency of the client's airway is the priority action because maintaining a clear airway is crucial during a seizure to ensure adequate oxygenation and prevent aspiration.
Question 4 of 5
A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain?
Correct Answer: B
Rationale: Renal stones (kidney stones) are a potential adverse effect of excessive calcium intake, and flank pain is a common symptom of kidney stones.
Question 5 of 5
A nurse is providing dietary teaching for a client who is Asian-American and is gazing at the floor during the instructions. Which of the following actions should the nurse take to demonstrate culturally sensitive nursing care?
Correct Answer: B
Rationale: Continuing with the discussion respects the client's cultural behavior, as some cultures view direct eye contact as disrespectful.