ATI RN
ATI n120 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse recognizes which of the following as signs and symptoms of hyperglycemia type I diabetes mellitus? Select all that apply,
Correct Answer: B,D
Rationale: Hyperglycemia causes polyuria and polydipsia due to glucose excretion and dehydration, unlike unconsciousness, anorexia, or respiratory changes.
Question 2 of 5
Which of the following is not a contraindication for the use of tissue plasminogen activator (tPA) in the treatment of stroke?
Correct Answer: C
Rationale: Age over 65 is not an absolute contraindication for tPA, unlike recent surgery, uncontrolled hypertension, or active cerebral hemorrhage, which increase bleeding risk.
Question 3 of 5
The nurse is assessing a client in the immediate post-operative setting. Which of the following finding requires priority intervention to prevent long-term complications?
Correct Answer: A
Rationale: Refusal to perform respiratory exercises risks atelectasis and pneumonia, requiring immediate intervention, unlike normal urine output, positive ambulation, or expected hypoactive bowel sounds.
Question 4 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 5 of 5
The nurse is preparing for a blood transfusion. Which of the following would be contraindicated to include in the prep for the procedure?
Correct Answer: B
Rationale: Ensuring another licensed personnel is required for verification, not contraindicated; other options are necessary or appropriate.