ATI RN
ATI Med Surg Npro 2000 Exam Questions
Extract:
Question 1 of 5
Which patient is most likely experiencing a pulmonary embolism (PE)?
Correct Answer: A
Rationale: The woman's symptoms of DVT (calf swelling) and chest pain with respiratory distress strongly suggest PE, a medical emergency.
Question 2 of 5
A nurse is caring for a client who has heart failure and a potassium level of 2.4 mEq/L. The nurse should identify which of the following medications as contributing to this lab value?
Correct Answer: D
Rationale: Furosemide, a loop diuretic, causes hypokalemia by increasing potassium excretion in urine.
Question 3 of 5
A nurse is planning care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Decreasing fluid intake helps manage ascites by preventing further fluid accumulation in the peritoneal cavity.
Question 4 of 5
A nurse is caring for a client who is unable to make any decisions for themselves and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders?
Correct Answer: C
Rationale: Dependent personality disorder involves excessive need for reassurance and difficulty making decisions, matching the client's behavior.
Question 5 of 5
A physician orders a nasogastric (NG) tube for a young adult diagnosed with end-stage ovarian cancer and suspected of having a bowel obstruction. The newly hired nurse explains the procedure and rationale for NG tube placement. The client refuses to consent to NG tube placement, stating, 'I would rather keep vomiting than have the tube in my nose.' Following the American Nurses Association Code of Ethics for Nurses, what should the nurse do next?
Correct Answer: D
Rationale: Respecting the client's autonomy requires documenting their refusal and notifying the physician for alternative planning.