ATI RN
ATI Nur 175 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is completing a health assessment and medical history on a recently married, 26-year-old transgender male at the clinic. While completing the client's health history, you find the client started taking oral testosterone about one month ago. What would be the priority education about testosterone for this client?
Correct Answer: A
Rationale: This statement is a priority because testosterone therapy can significantly impact fertility. Clients should be informed about the potential effects on their reproductive health, including the possibility of reduced fertility or infertility. This knowledge allows them to make informed decisions about fertility preservation before starting hormone therapy. While an increase in muscle mass is a common and expected effect of testosterone therapy, it is not as critical as discussing the potential impact on fertility. Increased muscle mass is generally seen as a desired outcome for transgender men undergoing hormone therapy. Acne is a known side effect of testosterone therapy, but it is not as high of a priority compared to the long-term implications of fertility. Acne can be managed with appropriate skincare and treatment. Changes in emotion or mood can occur with hormone therapy, but they are generally considered part of the overall effects of transitioning. These changes are important to monitor but are not as immediately critical as the impact on fertility.
Question 2 of 5
The nurse is providing care to a patient in the post anesthesia care unit (PACU) who lost a large amount of blood during a surgical procedure. Which assessment finding correlates to this postoperative complication?
Correct Answer: C
Rationale: Tachycardia compensates for hypovolemia from blood loss.
Question 3 of 5
The nurse performs in-line suctioning when the patient experiences a decrease in oxygen saturation and bradycardia. Which nursing action is best?
Correct Answer: A
Rationale: Stopping suctioning and providing oxygen addresses hypoxia and bradycardia immediately.
Question 4 of 5
During the time-out for a surgical procedure, who is responsible for marking the surgical site?
Correct Answer: C
Rationale: The surgeon marks the site to ensure accuracy and prevent errors.
Question 5 of 5
The nurse working in the emergency department is triaging a 65-year-old female client from a mass casualty motor vehicle crash. The client arrives ambulatory by ambulance and is complaining of a headache and neck pain. She is awake, alert, and oriented, and follows commands appropriately. What START triage level would be assigned to this client?
Correct Answer: B
Rationale: The yellow category in the START triage system is for clients who are unable to walk but have stable conditions that do not require immediate life-saving intervention. Since this client is ambulatory, she does not fit into the yellow category. The green category is for clients who are ambulatory with minor injuries and do not require urgent medical attention. This client is awake, alert, oriented, and able to follow commands, indicating that she is stable and her injuries are not life-threatening. The black category is for clients who are deceased or have injuries so severe that they are not expected to survive even with immediate medical intervention. This client is stable and responsive, so she does not fit into this category. The red category is for clients who need immediate life-saving intervention. Although this client has a headache and neck pain, her vital signs and ability to follow commands indicate that she does not require immediate life-saving intervention.