ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with left-sided heart failure. Which of the following symptoms correlate to this diagnosis? (Select all that apply)
Correct Answer: A,B
Rationale: Tachypnea and cough result from pulmonary edema in left-sided heart failure. Jugular vein distention and ascites indicate right-sided failure, and confusion is a late, non-specific sign.
Question 2 of 5
The nurse is caring for a client with suspected liver cancer and is providing education related to a needle biopsy procedure. Which of the following statements by the client would require further teaching?
Correct Answer: B
Rationale: Lying on the right side, not left, applies pressure to the liver biopsy site to prevent bleeding. Bedrest , stopping warfarin , and diagnosing cancer are correct.
Question 3 of 5
What set of arterial blood gases (ABGs) would you expect to see in a client with acute chest trauma?
Correct Answer: B
Rationale: pH 7.30, high CO2 (52), and near-normal HCO3 (22) reflect respiratory acidosis from hypoventilation in chest trauma, like rib fractures, reducing air exchange. Compensation is minimal acutely, fitting the clinical scenario. Other options (A,
C) indicate respiratory alkalosis, and D suggests mixed acidosis, less precise for acute chest trauma's primary CO2 retention.
Question 4 of 5
A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: B
Rationale: 2 tablets (50 mcg each) equal 100 mcg, the prescribed dose. 1 tablet underdoses, 3 or 4 tablets overdose, risking hyperthyroidism.
Question 5 of 5
A patient presents to the ER with numbness in the left arm, a severe headache, and trouble speaking. Which of the following diagnostic tests do you anticipate the healthcare provider to order?
Correct Answer: A
Rationale: CT scan rapidly detects stroke, critical for numbness, headache, and speech issues. Hemoglobin/hematocrit assesses anemia, MRI is slower, and pulmonary angiography is for embolism, not stroke.