ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client in the intensive care unit following a closed head injury. The nurse can anticipate which medication would be administered to treat an increase in intracranial pressure?
Correct Answer: D
Rationale: Mannitol, an osmotic diuretic, reduces intracranial pressure by drawing fluid from brain tissue. Pepcid treats acid, aspirin risks bleeding, and desmopressin manages diabetes insipidus.
Question 2 of 5
A nurse is caring for a client who has heart failure and a new prescription for the diuretic furosemide. For which adverse effect should the nurse monitor?
Correct Answer: D
Rationale: Furosemide causes potassium loss, risking hypokalemia, which can lead to muscle weakness and arrhythmias. It lowers blood pressure, reduces fluid volume, and doesn't affect glucose.
Question 3 of 5
The client diagnosed with paraplegia is being admitted to a medical unit from home with a stage IV pressure injury over the right ischium. Which assessment tool should be completed on admission to the hospital?
Correct Answer: B
Rationale: The Braden Scale assesses pressure ulcer risk factors, guiding care for a stage IV injury. Glasgow Coma Scale is for consciousness, Brudzinski for meningitis, and Babinski for neurological function.
Question 4 of 5
A nurse is preparing to administer a medication to a client who states, 'That looks different from the pill I usually take.' Which is the best response by the nurse?
Correct Answer: C
Rationale: Asking about the usual pill validates the client's concern and ensures medication accuracy. Other responses dismiss the concern or assume correctness without verification.
Question 5 of 5
An older client is brought to the ED with numbness and weakness of the left arm and slurred speech starting 30 minutes prior to arrival. Which nursing intervention is a priority?
Correct Answer: A
Rationale: A STAT CT head is critical to diagnose a stroke, guiding treatment. rtPA requires imaging confirmation, speech consult is secondary, and discussing factors delays urgent care.