ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Extract:
Question 1 of 5
The nurse understands that the primary symptoms of a sliding hiatal hernia are associated with reflux. Therefore, the nurse should assess the client with a hiatal hernia for which of the following symptoms?
Correct Answer: D
Rationale: Pyrosis (heartburn) is a primary symptom of a sliding hiatal hernia, caused by acid reflux into the esophagus.
Question 2 of 5
A patient is being treated for bleeding esophageal varices with balloon tamponade. Which of the following nursing actions will the nurse include in the plan of care?
Correct Answer: B
Rationale: Monitoring vital signs frequently is critical in patients with bleeding esophageal varices, as they are at risk for hypovolemic shock. Vital signs should be monitored closely to assess for signs of bleeding, hemodynamic instability, and response to interventions.
Question 3 of 5
The nurse is completing discharge teaching with a patient following an ileostomy. Which statement by the patient indicates the need for more teaching concerning the ileostomy?
Correct Answer: D
Rationale: Some foods may cause blockages or discomfort post-ileostomy, requiring dietary modifications, indicating a need for further teaching.
Question 4 of 5
A patient who is taking NSAIDs to treat arthritis asks the nurse why Cytotec (misoprostol) has also been prescribed. Which explanation by the nurse is accurate?
Correct Answer: B
Rationale: Misoprostol (Cytotec) protects the stomach lining from NSAID-induced damage, preventing ulcers and GI complications.
Extract:
Nurse's Notes: Client admitted to the unit 12 hr ago with pneumonia, over the last 1 hr the client has exhibited dyspnea and restlessness. Respiratory rate is currently 32/min with deep breaths, BP 198/78 mm Hg. Oxygen has been increased from 2 L nasal cannula to 50% face mask with little improvement of oxygen saturation. Current oxygen saturation is 91% on 50% facemask. Arterial blood gases drawn and sent to lab. Diagnostic Results: ABGS: pH 7.25 (7.35 to 7.45), pCO2 62 mm Hg (35 to 45 mm Hg), HCO3-22 mEq/L (22 to 26 mEq/L).
Question 5 of 5
A nurse is caring for a client who has pneumonia on a medical-surgical unit. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: B
Rationale: The client's low pH and high pCO2 indicate respiratory acidosis. Preparing for intubation and administering a bronchodilator address respiratory distress, while monitoring arterial blood gases and ETT placement ensures effective treatment.