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ATI RN Med Surg Custom Exam Questions and Correct Explained Answers
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ATI RN Med Surg Custom Exam Questions and Correct Explained Answers
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ATI RN Med Surg Custom Exam Questionsand Correct Explained Answers
A nurse is reviewing discharge instructions with a client following a right cataract
extraction. Which of the following instructions should the nurse include?
A. Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week.
B. Notify the surgeon if white drainage develops on the eyelids.
C. Sleep on the abdomen to facilitate wound healing.
D. Bend at the waist to pick objects up from the floor.
RATIONALES
Choice A rationale:
Lifting heavy objects can increase intraocular pressure, which should be avoided after cataract
surgery.
Choice B rationale:
Any drainage should be reported, not just white.
Choice C rationale:
Sleeping position won’t necessarily affect wound healing in this case.
Choice D rationale:
Bending at the waist can increase intraocular pressure, which should be avoided.
A nurse is caring for a client who has an indwelling urinary catheter. Which of the
following actions should the nurse take to prevent infection?
A. Clean the perineal area with an antiseptic solution daily.
B. Irrigate the catheter once each shift.
C. Check the catheter tubing for kinks or twisting.
D. Replace the catheter every 3 days.
RATIONALES
Choice A rationale:
Cleaning the perineal area with antiseptic solution daily is not necessary and can disrupt normal
flora.
Choice B rationale:
Routine irrigation of the catheter is not recommended as it can introduce bacteria.
Choice C rationale:
Checking the catheter tubing for kinks or twisting ensures urine flow and prevents infection.
Choice D rationale:
Replacing the catheter every 3 days is not necessary and can increase infection risk.
,A nurse is caring for a client who is postoperative and is at risk for developing
venous thromboembolism (VTE). The nurse should instruct the client to avoid
which of the following unsafe actions?
A. Ambulating soon after surgery.
B. Massaging her legs.
C. Flexing her ankles.
D. Elevating her feet.
RATIONALES
Choice A rationale:
Ambulating soon after surgery is actually encouraged as it promotes blood flow and reduces the
risk of VTE.
Choice B rationale:
Massaging the legs can dislodge a clot if one has formed, leading to a VTE.
Choice C rationale:
Flexing the ankles promotes blood flow and reduces the risk of VTE.
Choice D rationale:
Elevating the feet can reduce swelling and promote venous return, reducing the risk of VTE.
A nurse is caring for a client following cataract surgery. Which of the following
comments from the client should the nurse report to the client's provider?
A. "The bright light in this room is really bothering me.”
B. "It's hard to see with a patch on one eye. I'm afraid of falling.”
C. "I need something for the pain in my eye. I can't stand it.”
D. "My eye really itches, but I'm trying not to rub it.”
RATIONALES
Choice A rationale:
Sensitivity to light is a common postoperative symptom after cataract surgery.
Choice B rationale:
Difficulty with depth perception is expected when one eye is patched.
Choice C rationale:
Severe pain is not a normal postoperative symptom and should be reported to the provider.
Choice D rationale:
Itching is a common postoperative symptom after cataract surgery.
A nurse is caring for an adolescent client who has a long history of diabetes
mellitus and is being admitted to the emergency department. The client is
confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is
suspected. The nurse should anticipate using which of the following types of
insulin to treat this client?
A. Insulin glargine.
B. Insulin detemir.
C. Regular insulin.
D. NPH insulin.
, RATIONALES
Choice A rationale:
Insulin glargine is a long-acting insulin and is not used for the immediate treatment of diabetic
ketoacidosis (DKA).
Choice B rationale:
Insulin detemir is also a long-acting insulin and is not used for the immediate treatment of DKA.
Choice C rationale:
Regular insulin is a short-acting insulin and is used for the immediate treatment of DKA.
Choice D rationale:
NPH insulin is an intermediate-acting insulin and is not used for the immediate treatment of
DKA.
A nurse is teaching with a group of nurses about the administration of
nitroglycerin. Which of the following routes of administration provides the most
rapid onset for the client?
A. Sublingual.
B. Suspended-release.
C. Transdermal patch.
D. Topical ointment.
RATIONALES
Choice A rationale:
Sublingual administration of nitroglycerin provides the most rapid onset. This route allows the
medication to be absorbed directly into the bloodstream through the mucous membranes under
the tongue, bypassing the digestive system.
Choice B rationale:
Sustained-release nitroglycerin is designed to be released slowly over time. This form of the drug
does not provide rapid relief of acute angina symptoms.
Choice C rationale:
Transdermal patches of nitroglycerin provide a slow, continuous dose of medication. This is
beneficial for long-term management of angina, but it does not provide rapid relief.
Choice D rationale:
Topical ointments also provide a slow, continuous dose of medication and are not intended for
rapid relief of acute symptoms.
A nurse enters a client's room and finds the client on the floor having a seizure.
Which of the following actions should the nurse take?
A. Place the client back in bed.
B. Place the client on his side.
C. Hold the client's arms and legs from moving.
D. Insert a tongue blade in the client's mouth.
RATIONALES
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