ATI RN
ATI Nur 175 Med Surg Exam Questions
Extract:
Question 1 of 5
What are some common side effects of tricyclic antidepressants (TCAs)?
Correct Answer: B,D
Rationale: TCAs commonly cause weight changes and sexual dysfunction.
Question 2 of 5
The nurse manager observes the nurses on the unit. Which action represents a breach of client confidentiality?
Correct Answer: C
Rationale: While giving a report to the oncoming shift at the client's bedside might potentially expose confidential information, it is generally an accepted practice in many healthcare settings as long as privacy is maintained and the patient consents. Shredding a client's printed laboratory results is actually a good practice to ensure that confidential information is disposed of securely, preventing unauthorized access. Posting any information about a client on social media, even if it is positive, is a direct breach of client confidentiality. This action exposes the client's personal health information to a wide audience, violating privacy regulations such as HIPAA. Logging off the computer before leaving the workstation is a good practice to protect client information from unauthorized access and does not represent a breach of confidentiality.
Question 3 of 5
The nurse has just received a change-of-shift report on the following four clients. Which client should the nurse see first?
Correct Answer: B
Rationale: While the client with a subarachnoid hemorrhage needs close monitoring, the administration of nimodipine is essential but not immediately life-threatening compared to the post-tPA monitoring requirements. This client received tissue plasminogen activator (tP
A) 8 hours ago, which is critical for treating ischemic stroke. They are at a high risk of complications such as bleeding and must be monitored closely for any signs of adverse effects, making them the priority. The client with chronic atrial fibrillation due for warfarin can be attended to after addressing more urgent needs. Chronic atrial fibrillation management is important, but it is less urgent than post-tPA care. The client who experienced a transient ischemic attack and is due for aspirin is stable compared to the client who recently received tPA. While aspirin is important for preventing further strokes, it does not require the same level of immediate monitoring as the post-tPA client.
Question 4 of 5
What is a common side effect of antipsychotics?
Correct Answer: C
Rationale: Antipsychotics often cause dry mouth due to anticholinergic effects.
Question 5 of 5
The nurse provides care to a patient who is mechanically ventilated. Which nursing action is most effective in decreasing the risk for aspiration?
Correct Answer: D
Rationale: Elevating the head of the bed reduces the risk of aspiration by promoting proper alignment and reducing reflux.