ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
Correct Answer: D
Rationale: Carvedilol, a non-selective beta-blocker, can exacerbate asthma symptoms by causing bronchoconstriction. In clients with asthma, beta-1 selective blockers are preferred, so clarification is needed. Fluticasone, amoxicillin, and isosorbide dinitrate do not pose direct risks in this context.
Question 2 of 5
A nurse is caring for a client who has asthma and is taking Beclomethasone. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: Oral candidiasis is a common adverse effect of inhaled corticosteroids like Beclomethasone due to local immune suppression in the oral mucosa. Other options are not typical side effects.
Question 3 of 5
A nurse notes increasing edema in the calf of a client who has multiple fractures of the leg. The nurse should recognize that increasing edema is a manifestation of which of the following complications?
Correct Answer: C
Rationale: Increasing edema in the calf suggests acute compartment syndrome, where swelling increases pressure in a muscle compartment, risking tissue damage.
Extract:
Medical History
Nurses Notes
Diagnostic Results
Client is admitted to the rehabilitation unit following a hip fracture 7 days ago. Client has limited mobility and requires full assistance to turn and transfer out of bed.
Question 4 of 5
The client is at risk for developing [Pulmonary embolism] and [Deep vein thrombosis].
| Diarrhea |
| Hypocalcemia |
| Pulmonary embolism |
| Deep vein thrombosis |
| Diarrhea |
| Hypocalcemia |
| Hypertension |
Correct Answer: C,D
Rationale: Limited mobility and recent hip fracture increase the risk of deep vein thrombosis, which can lead to pulmonary embolism.
Extract:
Question 5 of 5
A patient on prolonged bedrest following a pelvic fracture becomes dyspneic and confused. Pulse = 135 beats/minute, blood pressure = 90/50 mmHg, respirations = 36/minute, Oxygen saturation starts dropping rapidly. Which of the following conditions should the nurse prepare to treat for this patient?
Correct Answer: C
Rationale: The patient's symptoms (dyspnea, confusion, tachycardia, hypotension, and desaturation) after prolonged bedrest suggest pulmonary embolism, a life-threatening condition requiring urgent treatment.