ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
Which of the following is a priority nursing intervention for a client admitted with an ischemic stroke?
Correct Answer: D
Rationale: Raising the head 30 degrees optimizes cerebral perfusion in ischemic stroke. Semi-Fowler's aids breathing, Trendelenburg risks pressure, and flat worsens ischemia.
Question 2 of 5
Which of the following is a priority nursing intervention for a client admitted with an ischemic stroke?
Correct Answer: D
Rationale: Raising the head 30 degrees optimizes cerebral perfusion in ischemic stroke. Semi-Fowler's aids breathing, Trendelenburg risks pressure, and flat worsens ischemia.
Question 3 of 5
The nurse is caring for a client with COPD who develops severe shortness of breath upon walking to the bathroom and oxygen saturation of 85% on room air. Which of the following medications would be a priority to treat these symptoms?
Correct Answer: A
Rationale: Albuterol rapidly opens airways, relieving acute COPD dyspnea and hypoxia (85% saturation). Mucolytics , montelukast , and prednisone are slower or preventive.
Question 4 of 5
The nurse is caring for a client who underwent a colon resection yesterday due to having a bowel obstruction. ABGs show metabolic alkalosis. The nurse expects this finding is because of:
Correct Answer: A
Rationale: Nasogastric suction removes gastric acid, causing metabolic alkalosis. Panic attacks cause respiratory alkalosis, ESRD causes acidosis, and epidurals don't affect acid-base.
Question 5 of 5
The nurse is caring for a 32-year-old woman who has an enlarged thyroid, bulging eyes, and elevated T3 and T4 levels and states she has not had a menstrual cycle in 6 months. She also states she has tremors and keeps losing weight without trying. Which of the following medications would the nurse anticipate being ordered?
Correct Answer: C
Rationale: Potassium iodide inhibits thyroid hormone release, treating hyperthyroidism's symptoms (goiter, exophthalmos, weight loss). Hydroxychloroquine is for lupus, levothyroxine worsens hyperthyroidism, and methotrexate is for autoimmunity.