ATI RN
ATI n120 Med Surg Exam Questions
Extract:
Question 1 of 5
Which of the following is not a contraindication for the use of tissue plasminogen activator (tPA) in the treatment of stroke?
Correct Answer: C
Rationale: Age over 65 is not an absolute contraindication for tPA, unlike recent surgery, uncontrolled hypertension, or active cerebral hemorrhage, which increase bleeding risk.
Question 2 of 5
A nurse is discussing the benefits of early ambulation after surgery with a preoperative client. Which of the following statements would be incorrect?
Correct Answer: C
Rationale: Early ambulation promotes wound healing by improving circulation, not delaying it or increasing infection risk.
Question 3 of 5
The nurse cares for a client who is a pale and reports frequent fatigue, weakness and dizziness. Which serum laboratory test result is the nurse's priority for planning care?
Correct Answer: C
Rationale: A hemoglobin of 9 g/dl indicates anemia, likely causing the symptoms, requiring priority intervention to address oxygenation, unlike the other normal results.
Question 4 of 5
The nurse is assigned to care for a client in traction. The nurse creates a plan of a care for the client and would include which action in the pian?
Correct Answer: C
Rationale: Checking weights to hang freely ensures proper traction alignment, unlike inappropriate actions like removing traction or adjusting weights without orders.
Question 5 of 5
A nurse is providing education for client newly prescribed warfarin in preparation for being discharged home. Which of the following should be included the teaching plan? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Warfarin requires overlap with heparin, bleeding precautions like soft toothbrushes and electric shavers, but not aPTT monitoring (used for heparin) or increased vitamin K, which counteracts warfarin.