ATI RN
ATI n232 Med Surg Exam Questions
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
Day 1:
Client is admitted with a 2-day history of headache, muscle aches, fever, sore throat, and fatigue.
Question 1 of 5
Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,C
Rationale: A. Wearing a mask prevents the spread of influenza via respiratory droplets, protecting the nurse and others. B. A private room minimizes transmission risk to other patients. C. Increased fluid intake supports hydration and immune function, reducing complications. D. Contact precautions are not needed for influenza, which is primarily droplet-transmitted. E. Antibiotics are ineffective against viral influenza.
Extract:
Medical History
Nurses' Notes
Vital Signs
Diagnostic Results
Day 1:
Client has a history of emphysema and reports smoking 21 packs of cigarettes per year.
Question 2 of 5
For each potential nursing action, click to specify if the action is essential, nonessential, or contraindicated for the client.
| Options | Essential | Nonessential | Contraindicated |
|---|---|---|---|
| Initiate a weight-based continuous heparin infusion | |||
| Prepare client for a chest tube insertion | |||
| Administer an analgesic | |||
| Insert an indwelling urinary catheter | |||
| Initiate supplemental oxygen |
Correct Answer: B,C,E
Rationale: Condition: Pneumothorax. B. Chest tube is essential for lung re-expansion. C. Analgesic manages pain. E. Oxygen addresses hypoxia. A. Heparin is contraindicated without thromboembolism. D. Catheter is nonessential.
Extract:
Question 3 of 5
A nurse is caring for a client who reports experiencing alteration in sense of smell following surgery for a total laryngectomy. The nurse should address the client's concern through which of the following response?
Correct Answer: B
Rationale: After laryngectomy, air bypasses the nose, impairing olfaction. B. This response accurately explains the cause of anosmia. A. The body cannot smell through the stoma. C. Smell loss is typically permanent without specific techniques. D. Appetite improvement does not restore smell.
Extract:
Nurses' Notes
Medication Administration Record
Client is awake and alert. Breath sounds with crackles present bilaterally at bases.
Productive cough with yellow, blood-tinged sputum
Client reports pleuritic chest pain upon inspiration.
Client reports abdominal pain, frequent liquid, foul smelling stools.
Question 4 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Place the client on contact precautions |
| Obtain a stool culture. |
| Request a prescription for an anticoagulant |
| Request a prescription for a diuretic |
| Restrict fluids |
| Condition Mostly Experiencing A. Clostridium difficile infection B. Myocardial infarction C. Pulmonary edema D. Pulmonary embolism |
| Parameter to Monitor A. Level of consciousness B. Urine output C. Calf swelling D. Potassium level E. Weight |
Correct Answer: A,B,A,E
Rationale: Condition: C. difficile (foul-smelling stools, antibiotic use). Actions: A. Contact precautions prevent spread. B. Stool culture confirms diagnosis. Parameters: A. Consciousness monitors dehydration effects. E. Weight tracks fluid loss. C, D are irrelevant.
Extract:
Question 5 of 5
A nurse is preparing to discharge a client who is a status post-operative laryngectomy. The nurse should recognize which of the following discharge teaching is the highest priority?
Correct Answer: C
Rationale: Emergency ID ensures safety by communicating inability to speak in crises. A, B, D are important but secondary to immediate safety.