ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The nurse is assessing a client's thyroid. The nurse determines the client's thyroid is non-palpable and non-tender. Which is the best explanation of these findings?
Correct Answer: C
Rationale: A non-palpable, non-tender thyroid is normal, indicating no enlargement or inflammation. Levothyroxine or thyroidectomy assumes pathology, and error is unfounded.
Question 2 of 5
Which statement by the family is consistent with mild Alzheimer's disease?
Correct Answer: C
Rationale: Forgetfulness and slower tasks reflect mild Alzheimer's memory loss. Stopping speech is advanced, toothbrush difficulty is moderate, and incontinence is late-stage.
Question 3 of 5
The nurse is caring for a client with COPD who develops severe shortness of breath upon walking to the bathroom and oxygen saturation of 85% on room air. Which of the following medications would be a priority to treat these symptoms?
Correct Answer: A
Rationale: Albuterol rapidly opens airways, relieving acute COPD dyspnea and hypoxia (85% saturation). Mucolytics , montelukast , and prednisone are slower or preventive.
Question 4 of 5
The nurse is assessing a client with esophageal varices. Which of these findings would be early indicators of bleeding?
Correct Answer: D
Rationale: Tachycardia, restlessness, and pallor indicate early blood loss from varices. Epigastric fullness is vague, yellow sclera reflects liver issues, and bradycardia/lethargy are late signs.
Question 5 of 5
A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: Assessing respiratory status (rate, saturation, lung sounds) identifies the cause of difficulty, guiding interventions. Increasing oxygen , coughing , or calling emergency services are premature without assessment.