ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
Which finding in the patient's history increases the risk for acute pancreatitis?
Correct Answer: A
Rationale: Alcohol abuse is a major risk factor for acute pancreatitis. Chronic alcohol consumption can lead to inflammation of the pancreas and increase the likelihood of pancreatic injury.
Question 2 of 5
A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Defibrillation is the priority action for a client in ventricular fibrillation. This life-threatening arrhythmia causes the heart to quiver rather than pump effectively, and defibrillation is the only way to restore a normal rhythm. Immediate defibrillation is critical to prevent death.
Question 3 of 5
A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?
Correct Answer: B
Rationale: Inability to recognize family members, or prosopagnosia, is a common result of right hemisphere strokes. The right hemisphere is responsible for spatial awareness and recognition of faces, so damage to this area can impair the ability to recognize familiar people.
Question 4 of 5
A nurse is reviewing the diagnostic test results of an older adult female client who is preoperative for a knee arthroplasty. The nurse should notify the surgeon of which of the following results?
Correct Answer: A
Rationale: A WBC count of 20,000/mm3 is elevated, which suggests the presence of infection or inflammation. This is concerning and should be reported to the surgeon, as an infection or other underlying issue could delay or contraindicate surgery.
Question 5 of 5
A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during assessment? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Enlarged distal extremities, hepatomegaly, and coarse facial features are hallmark signs of acromegaly due to excess growth hormone. Loss of color discrimination and moon face are not typically associated with this condition.