ATI RN
ATI n269 Med Surg Exam Questions
Extract:
Question 1 of 5
Which safety measure is most important for the nurse to institute for a patient who has Cushing Syndrome?
Correct Answer: B
Rationale: Assisting the patient to change positions slowly is the most important safety measure for a patient with Cushing's syndrome. Patients with Cushing's syndrome often have osteoporosis and a risk of fractures due to prolonged exposure to high cortisol levels, which can lead to weakened bones. Orthostatic hypotension may also occur, so changing positions slowly can prevent falls.
Question 2 of 5
A nurse is caring for a client who just had a flexible bronchoscopy. Which of the following nursing actions is appropriate?
Correct Answer: B
Rationale: Withhold food and liquids until the client's gag reflex returns: This is the most important action to prevent aspiration. After a bronchoscopy, the throat is anesthetized, and eating or drinking before the gag reflex returns increases the risk of aspiration.
Question 3 of 5
A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see?
Correct Answer: B
Rationale: In metabolic acidosis, the pH is expected to be below 7.35 because metabolic acidosis indicates an accumulation of acid or loss of bicarbonate, which lowers the blood pH.
Question 4 of 5
A patient who is scheduled for gastric bypass surgery asks for information about dumping syndrome. How does the nurse explain dumping syndrome?
Correct Answer: C
Rationale: Dumping syndrome occurs when food moves too quickly from the stomach into the small intestine, causing a sudden release of insulin and other gastrointestinal symptoms, such as nausea, diarrhea, and dizziness.
Question 5 of 5
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Tachycardia, blurred vision, and moist, clammy skin are all manifestations of hypoglycemia. Polyuria and polydipsia are symptoms of hyperglycemia, not hypoglycemia.