ATI RN
ATI n120 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a patient who was admitted for seizures. All of the following precautions should be taken to promote a safe environment except which?
Correct Answer: C
Rationale: Bright lights can trigger seizures; other measures like call lights, padded rails, and calm environments enhance safety.
Question 2 of 5
A client is receiving a blood transfusion, The nurse observes that the client is experiencing flank and lower back pain. Which of the following orders does the nurse anticipate receiving?
Correct Answer: C
Rationale: Flank and lower back pain during a transfusion suggest a hemolytic reaction; high-volume IV fluids help prevent kidney damage by flushing hemoglobin.
Question 3 of 5
A nurse is discussing the benefits of early ambulation after surgery with a preoperative client. Which of the following statements would be incorrect?
Correct Answer: C
Rationale: Early ambulation promotes wound healing by improving circulation, not delaying it or increasing infection risk.
Question 4 of 5
The nurse is caring who presented with unstable angina. Before giving the client, a dose of sublingual nitroglycerin, which action should the nurse take?
Correct Answer: C
Rationale: Checking blood pressure ensures safety, as nitroglycerin can cause hypotension, unlike irrelevant pulse, vomiting, or X-ray actions.
Question 5 of 5
The nurse is reading the arterial blood gas results of a patient admitted for sepsis. Which of the following would the nurse expect for a patient in metabolic acidosis?
Correct Answer: A
Rationale: Metabolic acidosis is indicated by low pH (7.25) and low HCO3- (16), with normal CO2, unlike other options in metabolic or respiratory alkalosis or acidosis.