ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Question 1 of 5
A nurse is assessing a client who has mitral valve stenosis Which of the following findings should the nurse except?
Correct Answer: B
Rationale: Mitral valve stenosis causes a diastolic heart murmur due to turbulent blood flow from the left atrium to the ventricle. Clubbing is linked to hypoxia, barrel chest to COPD, and bradycardia is not typical.
Question 2 of 5
The Emergency Department (ED) nurse is assessing an 80-year-old patient who has superficial, partial thickness and deep partial thickness scald burns on bilateral anterior and posterior hands and forearms. The nurse estimates that the total body surface Tire CTBSA) burned is 27%. What should the nurse include in the emergent plan of care?
Correct Answer: A
Rationale: 27% TBSA burns require fluid resuscitation to prevent shock and transfer to a burn center for specialized care.
Question 3 of 5
A nurse is caring for a client who has suspected hemorrhagic stroke from a ruptured cerebral aneurysm. Which of the following manifestations would the nurse expect?
Correct Answer: D
Rationale: A sudden, severe headache ('worst headache of my life') is classic for a ruptured cerebral aneurysm, causing hemorrhagic stroke.
Question 4 of 5
The nurse is caring for client who is four days post-operative open repair of an abdominal aortic aneurysm the abdomen is distended. The client is complaining abdominal pain and the abdomen is distended. What action should the nurse take at this time?
Correct Answer: B
Rationale: Abdominal pain and distension post-AAA repair suggest complications like bleeding or ischemia, requiring immediate provider notification and testing.
Question 5 of 5
Which nursing intervention is highest priority for the client who has suffered an acute anterior wall mycordial infarction?
Correct Answer: D
Rationale: Reducing oxygen demand via pain control (e.g., morphine) and oxygen therapy minimizes myocardial ischemia, the priority in acute MI.