ATI RN
ATI n269 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse notes that which disorder places the patient at greatest risk for hypertensive crisis?
Correct Answer: A
Rationale: Pheochromocytoma is a tumor of the adrenal glands that can cause excessive production of catecholamines (such as norepinephrine and epinephrine), leading to a hypertensive crisis. This condition can cause severe hypertension, headaches, palpitations, and sweating.
Question 2 of 5
After observing blood-tinged mucous when suctioning a patient who has just arrived on the medical-surgical unit after a laryngectomy, which action by the nurse is best?
Correct Answer: A
Rationale: Placing the patient in a lateral recovery position is the best immediate action. This position helps facilitate drainage of secretions, especially after a laryngectomy, which can reduce the risk of aspiration and airway obstruction. The blood-tinged mucus may be due to recent surgery and should be monitored for changes.
Question 3 of 5
A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?
Correct Answer: C
Rationale: Mold is a common environmental allergen and asthma trigger. It can exacerbate asthma symptoms and lead to allergic reactions, so it is important for clients with asthma to avoid mold exposure.
Question 4 of 5
Which is the most common symptom of lung cancer?
Correct Answer: D
Rationale: Persistent cough: This is the correct answer. A persistent cough is the most common symptom of lung cancer, especially in the early stages. The cough may be dry or productive and is often overlooked or mistaken for a chronic respiratory condition.
Question 5 of 5
Which safety measure is most important for the nurse to institute for a patient who has Cushing Syndrome?
Correct Answer: B
Rationale: Assisting the patient to change positions slowly is the most important safety measure for a patient with Cushing's syndrome. Patients with Cushing's syndrome often have osteoporosis and a risk of fractures due to prolonged exposure to high cortisol levels, which can lead to weakened bones. Orthostatic hypotension may also occur, so changing positions slowly can prevent falls.