ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Question 1 of 5
The nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). The client's urine in the catheter bag is bright red with clots. Which action should the nurse take first?
Correct Answer: A
Rationale: Bright red urine with clots indicates possible bleeding or clot obstruction. Irrigating the catheter clears clots, maintaining patency and preventing complications.
Question 2 of 5
To properly identify a cardiac rhythm, the nurse will obtain the following factors. (SELECT ALL THAT APPLY)
Correct Answer: A,D,E
Rationale: QRS after P waves, P wave presence, and equal P-P/R-R intervals confirm normal conduction and rhythm regularity. A 3-second strip is inaccurate, and U waves are secondary.
Question 3 of 5
The nurse is caring for client who is diagnosed with hypertrophic cardiomyopathy. Which medical Intervention should the nurse anticipate for the complications of dysrhythmias?
Correct Answer: A
Rationale: A cardioverter-defibrillator is used to manage life-threatening ventricular arrhythmias in hypertrophic cardiomyopathy. Nitrates worsen obstruction, transplantation is for end-stage failure, and stents treat coronary artery disease.
Question 4 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 5 of 5
The nurse is caring for patient with severe, major burns who is receiving fluid resuscitation per protocol. Which of the following assessments indicate positive outcome?
Correct Answer: A
Rationale: Urine output of 0.5-1 mL/kg/hr indicates adequate renal perfusion, a positive outcome in burn fluid resuscitation.