ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The nurse is preparing to discharge a client newly prescribed a progestin-only pill (POP) for contraceptive prevention. Which contraindication associated with POP should the nurse alert the healthcare provider?
Correct Answer: A
Rationale: A BMI of 40 may reduce POP efficacy due to altered hormone metabolism, requiring provider consultation. Non-conception plans align with POP use, night sweats and ginger are not contraindications.
Question 2 of 5
A nurse is assessing a client with fluid volume overload. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Increased blood pressure results from excess blood volume in fluid overload. Fever is unrelated, tachycardia (not bradycardia) is typical, and hematocrit is diluted, not increased.
Question 3 of 5
A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating (select all that apply)?
Correct Answer: B,D,E
Rationale: Cerebrovascular accident (stroke) causes dysphagia, increasing aspiration risk. Head and neck trauma damages swallowing structures, and recent postoperative clients under anesthesia have impaired airway reflexes. Lactose intolerance and diarrhea affect digestion, not swallowing.
Question 4 of 5
A nurse is assessing a client prior to the administration of morphine. The nurse should recognize which assessment is the priority?
Correct Answer: A
Rationale: Respiratory rate is critical before morphine due to risk of respiratory depression. Urine output, bowel sounds, and pupil reaction are secondary.
Question 5 of 5
A client arrives at the emergency room experiencing status epilepticus. Which of the following interventions should the nurse anticipate performing first for this client?
Correct Answer: A
Rationale: IV diazepam rapidly stops status epilepticus. Glucocorticoids, telemetry, and hourly assessments are secondary.