ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
Which intervention would the nurse implement as the priority when providing care for a patient with a ventriculostomy to measure increased intra-cranial pressure (ICP) caused by a brain tumor?
Correct Answer: B
Rationale: Strict aseptic technique with all procedural dressing changes is the priority intervention. A ventriculostomy is an invasive procedure that introduces the risk of infection, which can significantly worsen the patient's condition. Preventing infection is crucial for maintaining the integrity of the ventriculostomy and ensuring accurate ICP measurements.
Question 2 of 5
A nurse is caring for a client who has returned from the surgical suite following surgery for a fractured mandible. The client had intermaxillary fixation to repair and stabilize the fracture. Which of the following actions is the priority for the nurse to take?
Correct Answer: B
Rationale: Preventing aspiration is the priority because the client may have difficulty swallowing or controlling their airway due to the surgical procedure and fixation of the jaw. The nurse should ensure the client's airway is clear and that they are positioned appropriately to prevent aspiration.
Question 3 of 5
A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Holding the breath for 10 seconds after inhaling the medication allows the medication to settle in the lungs and be absorbed more effectively, indicating proper use of the inhaler.
Question 4 of 5
Which assessment finding would the nurse expect in a patient diagnosed with acute pericarditis?
Correct Answer: D
Rationale: A pericardial friction rub is a hallmark sign of acute pericarditis. It occurs due to the inflammation of the pericardial layers, which rub against each other, producing a characteristic high-pitched, scratchy sound heard on auscultation.
Question 5 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.