ATI RN
ATI Med Surg Final Exam Nsg 232 Questions
Extract:
Question 1 of 5
The nurse is providing care to a client who sustained burns to 70% of the body 6 hours ago. Which of the following new assessment data requires the nurse to notify the healthcare provider?
Correct Answer: B
Rationale: Hypotension (96/50 mm Hg) indicates potential shock or inadequate perfusion, requiring immediate provider notification.
Question 2 of 5
A nurse is caring for a client who is exhibiting manifestations of syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Increased urine specific gravity, behavioral changes, nausea, and severe headache are critical signs of SIADH, particularly related to hyponatremia, and require prompt reporting. Reduced urine output, while relevant, is less urgent.
Question 3 of 5
A nurse is caring for a client diagnosed with advanced COPD. The nurse should anticipate which assessment findings when caring for clients with advanced COPD? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Pursed-lip breathing, clubbing of fingers, and dyspnea at rest are characteristic of advanced COPD. Elevated temperature and concave chest are not typical.
Question 4 of 5
A nurse is caring for a client newly diagnosed with systemic lupus erythematosus (SLE). The nurse should recognize that which statement made by the client indicates the need for further teaching about the course and management of SLE?
Correct Answer: C
Rationale: Sun exposure can trigger SLE flare-ups, and patients should avoid excessive sun exposure.
Question 5 of 5
A nurse is caring for a client diagnosed with a pulmonary embolism that is placed on a continuous heparin infusion. The nurse should notify the health care provider for which of the following findings?
Correct Answer: D
Rationale: An elevated PTT (70 seconds) indicates a potential heparin overdose, increasing bleeding risk, requiring immediate provider notification.