ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
To auscultate for a carotid bruit, the nurse places the stethoscope at what location (Select the correct location on the image. To change, click on a new location.)
Correct Answer: A
Rationale: The carotid artery is the correct location for auscultating a carotid bruit.
Question 2 of 5
A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Applying ice to the affected area is recommended to reduce swelling and pain after arthroscopic knee surgery.
Question 3 of 5
A nurse at a rehabilitation center is planning care for a client who had a left hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following goals should the nurse include in the client's rehabilitation program?
Correct Answer: B
Rationale: Establishing the ability to communicate effectively is crucial for a left hemispheric CVA, which often affects language and speech functions.
Question 4 of 5
A nurse is teaching a newly licensed nurse about the difference between a plaster cast and a synthetic cast. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: A synthetic cast is lighter in weight compared to a plaster cast, making it more comfortable for the patient.
Extract:
Medical History
Day 1:
Client has a history of emphysema and reports smoking 21 packs of cigarettes per year.
Vital Signs
Day 1:
Temperature 37.6° C (99.7° F)
Blood pressure 114/56 mm Hg
Heart rate 78/min
Respiratory rate 20/min
Pulse oximetry 93% on room air
Day 2:
1000
Temperature 36.9° C (98.4° F)
Blood pressure 88/56 mm Hg
Heart rate 118/min
Respiratory rate 32/min
Pulse oximetry 85% on room air
Diagnostic Results
Day 1:
Chest x-ray shows lung hyperinflation.
Day 2
1000:
Chest x-ray shows right upper lobe pneumothorax.
Nurses' Notes
Day 2:
0800:
Voided 350 mL of clear yellow urine in a bedpan.
1000:
Client reports sudden, sharp, right upper chest pain.
Client appears anxious and states pain increases with deep breathing.
Respirations labored with use of accessory muscles noted.
Crepitus palpated on right upper chest.
Trachea midline, breath sounds decreased in right upper lobe.
Question 5 of 5
For each potential nursing action, click to specify if the action is essential, non-essential, or contraindicated for the client.
| Action | essential | non-essential | contraindicated |
|---|---|---|---|
| Administer an analgesic | |||
| Initiate a weight-based continuous heparin infusion | |||
| Initiate supplemental oxygen | |||
| Prepare client for a chest tube insertion | |||
| Insert an indwelling urinary catheter |
Correct Answer: A,C,D
Rationale: Administer an analgesic is essential for pain management. Initiate supplemental oxygen is essential due to low pulse oximetry. Prepare client for a chest tube insertion is essential to treat the pneumothorax.