ATI RN
ATI n120 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is assessing a client in the immediate post-operative setting. Which of the following finding requires priority intervention to prevent long-term complications?
Correct Answer: A
Rationale: Refusal to perform respiratory exercises risks atelectasis and pneumonia, requiring immediate intervention, unlike normal urine output, positive ambulation, or expected hypoactive bowel sounds.
Question 2 of 5
A client who following prescribed multiple medications for recurring urinary tract infections tells the nurse that her urine has turned red-orange. Which of the following prescribed medications does the nurse suspect is responsible for this change?
Correct Answer: D
Rationale: Phenazopyridine commonly causes red-orange urine, a harmless side effect, unlike other medications or UTI itself.
Question 3 of 5
Which of the following should be included in patient teaching after hip replacement surgery?
Correct Answer: D
Rationale: Keeping knees apart with a wedge or pillow prevents hip adduction, reducing dislocation risk, unlike the other options which increase risk of complications.
Question 4 of 5
Which of the following would not be an appropriate nursing intervention when preparing to administer a blood transfusion?
Correct Answer: C
Rationale: Blood transfusions require specific blood administration tubing with a filter, not regular primary and secondary IV tubing, which lacks necessary filtration.
Question 5 of 5
Which action should the nurse take first when discovering a fire in the client's bathroom trash can?
Correct Answer: B
Rationale: Removing the client to safety is the priority to prevent injury, before pulling alarms, extinguishing, or closing doors.