ATI RN
ATI n269 Med Surg Exam Questions
Extract:
Question 1 of 5
Which is the most common symptom of lung cancer?
Correct Answer: D
Rationale: Persistent cough: This is the correct answer. A persistent cough is the most common symptom of lung cancer, especially in the early stages. The cough may be dry or productive and is often overlooked or mistaken for a chronic respiratory condition.
Question 2 of 5
Which response is best when a patient refuses a stool softener after pituitary surgery?
Correct Answer: C
Rationale: It is important you do not strain during bowel movements because this could result in increased pressure on your surgical site.: This is the correct response. Straining during bowel movements can increase ICP, which could potentially compromise healing or lead to complications after pituitary surgery.
Question 3 of 5
After observing blood-tinged mucous when suctioning a patient who has just arrived on the medical-surgical unit after a laryngectomy, which action by the nurse is best?
Correct Answer: A
Rationale: Placing the patient in a lateral recovery position is the best immediate action. This position helps facilitate drainage of secretions, especially after a laryngectomy, which can reduce the risk of aspiration and airway obstruction. The blood-tinged mucus may be due to recent surgery and should be monitored for changes.
Question 4 of 5
A nurse is caring for a client who is in the immediate postoperative period following a partial laryngectomy. Which of the following parameters should the nurse assess first?
Correct Answer: B
Rationale: Airway patency should be assessed first because this surgery involves the upper airway structures, and complications such as obstruction, swelling, or bleeding could compromise the airway and lead to respiratory distress.
Question 5 of 5
Which instruction is highest priority when the nurse is developing a teaching plan for a patient with Addison's disease?
Correct Answer: B
Rationale: Managing lifelong corticosteroid replacement is the most crucial instruction because individuals with Addison's disease have insufficient production of adrenal hormones, particularly cortisol. Without appropriate corticosteroid therapy, they can experience life-threatening adrenal crises.