ATI Med Surg Exam 1 Practice Questions

ATI Med Surg Exam 1 Practice Questions
1. Anurseisplanningcareforaclientwhoishavingapercutaneoustranslumi-
nalcoronaryangioplasty(PTCA)withstentplacement.Whichofthefollowingactions
shouldthenurseanticipateinthepost-procedureplanofcare?

A. Instructtheclientaboutalong-termcardiacconditioningprogram
B. Administerscheduleddosesofacetaminophen
C. Checkforpeaklaboratorymarkersofmyocardialdamage
D. Monitorforbleeding:D.Monitorforbleeding

CorrectAnswer:D.Monitorf
orbleeding

Bleedingisapost-
procedurecomplicationofPTCAbecauseoftheadministrationofheparinduringtheprocedureandtheremovalofthefemoral
(orbrachial)sheath.Manualpressureoraclosuredeviceisusedtoobtainhemostasistothesite.Theclientshouldremainonbed
restuntilhemostasisisassured.

IncorrectAnswers:A.Thenurseshouldprovideteachingaboutcardiacrehabilitationpriortotheclient'sdischargefromthehospital.
B.Thenurseshouldplantoadministerscheduleddosesofaspirinpost-
procedure.Thismaintainsthepatencyoftheclient'scoronaryarteriesfollowingthePTCAbypreventingplateletaggregation
andthrombusformationaroundthenewlyplacedstent.
C.Thenurseshouldmonitorforpeaklaboratorymarkersofmyocardialdamagefollowingamyocardialinfarctionandreperfusionwitht
hrombolytictherapy.
2. Anurseinaprovider'sofficeisreviewingthemedicalrecordsofagroupofclients.Which
ofthefollowingclientsisatriskforirondeficiency?(Selectallthatapply.)

A. Aclientwhoispostmenopausal
B. Aclientwhoisavegetarian
C. Amiddleadultmaleclient
D. Aclientwhoispregnant
E. Atoddlerwhoisoverweight:B.Aclientwhoisavegetarian
D.Aclientwhoispregnant

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, ATI Med Surg Exam 1 Practice Questions
E.Atoddlerwhoisoverweight

Aclientwhoisavegetarianmightrequireadditionalironbecausetheavailabilityofironinvegetablefoodsourcesislimited.During
pregnancy,maternalbloodvolumeincreases,andthefetusrequiresadditionaliron.Therefore,theRDAofironforclientswhoarepreg
nantisincreasedto27mgperday.Toddlerswhoareoverweightmaygetmostoftheircaloriesfrommilkandfoodsthatarenotconsi
deredhealthy,whichincreasestheirriskforiron-deficiencyanemia.
3. Anurseisreviewingthelaboratoryfindingsofaclientwhohasprotein-
caloriemalnutrition.Whichofthefollowingfindingsshouldthenurseexpect?

A. Decreasedalbumin
B. Elevatedhemoglobin
C. Elevatedlymphocytes
D. Decreasedcortisol:A.Decreasedalbumin

CorrectAnswer:A.
Decreasedalbumin

Adecreaseinthealbuminlevelcanbeanindicationoflong-
termproteindepletion.Otherpotentialconditionsthatresultindecreasedalbuminlevelsincludeburns,wounddrainage,andim
pairedhepaticfunction.
4. Anurseisassessingaclientwhohasincreasedintracranialpressureandhasrecei
vedintravenousmannitol.Whichofthefollowingfindingsindicatesatherapeuticeff
ectofthismedication?

A. Decreasedbloodglucose
B. Decreasedbronchospasms
C. Increasedurineoutput
D. Increasedtemperature:C.Increasedurineoutput

Mannitolisanosmoticdiureticusedtoreduceintracranialpressurebymobilizingintracranialfluidandinhibitingthereabsorptionofwa
terandelectrolytesinthekidneys.Increasedurineoutputanddecreasedintracranialpressurearetherapeuticettectsofthismedica
tion.
5. Anurseispreparinganin-
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, ATI Med Surg Exam 1 Practice Questions
servicepresentationaboutassessingclientswhoarehavinganacutemyocardialinf
arction(MI).Whatisthemostcommon




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, ATI Med Surg Exam 1 Practice Questions
assessmentfindingwithacuteMI?

A. Dyspnea
B. Painintheshoulderandleftarm
C. Substernalchestpain
D. Palpitations:C.Substernalchestpain

Evidence-
basedpracticeindicatesthatthemostcommonmanifestationofacuteMIissubsternalchestpainthatdoesnotsubsidewithrestornitr
oglycerin.Therefore,nursesshouldmakepainmanagementwithmorphineaprioritytoreducemyocardialoxygendemandan
dincreaseoxygenation.
6. Anurseisprovidingdischargeteachingforaclientwhohadabonemarrowtranspl
antandhasthrombocytopenia.Whichofthefollowingstatementsindi-
catesthattheclientunderstandstheprecautionshemusttakeathome?

A. "I'llstickwithsoftfoodsfornow."
B. "Myfamilywillbebringingmefreshflowerstoday."
C. "I'lluseanewdisposablerazoreachday."
D. "I'llblowmynosemoreoftentoavoidnosebleeds.":A."I'llstickwithsoftfoodsfornow."

Thrombocytopenia(alowplateletcount)iscommonafterabonemarrowtransplant.Topreventbleedinguntiltheclient'splateletcou
ntimproves,theclientshouldavoidhardfoodsthatcouldcausemouthtrauma.
IncorrectAnswers:
C.Toreducetheriskofinjuryandbleeding,theclientshoulduseanelectricshaverratherthanarazor.
7. Anurseiscaringforaclientwhohasatracheostomywithaninflatedcuffinplace.
Whichofthefollowingfindingsindicatesthatthenurseshouldsuctiontheclient'sa
irwaysecretions?

A. Theclientisunabletospeak.
B. Theclient'sairwaysecretionswerelastsuctioned2hrago.
C. Theclientcoughsandexpectoratesalargemucousplug.
D. Thenurseauscultatescoarsecracklesinthelungfields.:D.Thenurseauscultatescoarsecr
acklesinthelungfields.
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