ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
What information should the nurse relay to the client with a hiatal hernia diagnosis?
Correct Answer: C
Rationale: Frequent heartburn and regurgitation are classic symptoms of hiatal hernia due to stomach acid refluxing into the esophagus.
Question 2 of 5
A patient who is experiencing an acute asthma attack is admitted to the emergency department. Which action should the nurse complete first?
Correct Answer: A
Rationale: Administering a bronchodilator is the priority to relieve bronchospasm and improve breathing in an acute asthma attack.
Question 3 of 5
A client diagnosed with type II diabetes controlled with a biguanide medication and a history of liver disease is scheduled for a computed tomography (CT) scan with contrast medium of the abdomen to evaluate pancreatic function. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Hydration is critical to protect kidney function and reduce contrast-induced nephropathy risk, especially with liver disease.
Question 4 of 5
A client is admitted to the emergency department with fever, chills, and severe left costovertebral pain. Which diagnostic test should be prioritized to evaluate the underlying cause of these symptoms?
Correct Answer: B
Rationale: Urinalysis with culture is prioritized to diagnose a urinary tract infection or pyelonephritis, indicated by costovertebral pain and systemic symptoms.
Question 5 of 5
A client with a recent ST segment elevation MI (STEMI) presents with bilateral lower extremity edema and crackles throughout the lung fields. What is the nurse's priority intervention for this client?
Correct Answer: B
Rationale: Diuretics are the priority to reduce fluid overload, indicated by edema and lung crackles post-STEMI.