ATI RN
ATI Med Surg Woolery Final Exam Questions
Extract:
Question 1 of 5
The patient is admitted with upper GI bleeding following an episode of forceful vomiting due to excessive alcohol intake. The nurse suspects a Mallory-Weiss tear. Which of the following is true of a Mallory-Weiss tear?
Correct Answer: D
Rationale: A Mallory-Weiss tear is a laceration in the mucosal lining at the gastroesophageal junction, typically caused by severe vomiting or retching.
Question 2 of 5
A client is diagnosed with chronic stable angina caused by plaques in the coronary arteries. The client receives a prescription for sublingual nitroglycerin to use as needed when angina occurs. Which additional medication does the nurse anticipate would be prescribed for this client?
Correct Answer: A
Rationale: Atorvastatin lowers cholesterol, preventing progression of atherosclerosis causing angina.
Question 3 of 5
A client who is postoperative following a transurethral resection of the prostate (TURP) is receiving continuous bladder irrigation. The nurse notes that the urine output has slowed significantly, and the urine is bright red. Which is the priority nursing action?
Correct Answer: A
Rationale: Bright red urine and slowed output may indicate a clot or obstruction, requiring immediate notification of the surgeon.
Question 4 of 5
A client with a history of hypertension is prescribed spironolactone. The nurse should instruct the client to avoid which of the following foods?
Correct Answer: A
Rationale: Spironolactone is a potassium-sparing diuretic; bananas are high in potassium, which can lead to hyperkalemia.
Question 5 of 5
A nurse in a clinic is reviewing the home medications of client who has a history of asthma, and who is at the clinic to have a routine annual physical. Which statement made by the patient would indicate a need for further action by the nurse?
Correct Answer: D
Rationale: Beta-blockers like metoprolol can worsen asthma symptoms in some patients. The nurse should discuss this with the patient's doctor to determine if the benefits of metoprolol outweigh the risks for this individual.