ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Question 1 of 5
The nurse is caring for a patient in the acute care setting with a spinal cord injury (SCI) at the level of C-3. What is the main cause of complications or death related to this level of injury?
Correct Answer: A
Rationale: A spinal cord injury at C-3 affects the phrenic nerve (C3-C5), which controls the diaphragm, leading to respiratory compromise. This is the primary cause of complications or death due to the risk of respiratory failure, often requiring mechanical ventilation.
Question 2 of 5
The nurse is preparing discharge teaching for a client newly diagnosed with cancer who just had a tunneled IV catheter (Hickman) placed. The nurse would include which information in the teaching plan regarding sign and symptoms of infection?
Correct Answer: B
Rationale: Monitoring for redness, swelling, or exudate at the catheter insertion site is critical to detect infection early, a common complication of tunneled IV catheters. Increased urine output is unrelated, hemoglobin monitoring is for general health, and flushing is for patency, not infection.
Question 3 of 5
A patient is ordered 1 mg/kg of furosemide IV push. The patient weights 121 lbs. The medication is supplied 40 mg/10 mL. How many mL should the nurse administer? (round to the nearest tenth)
Correct Answer: A
Rationale: Convert 121 lbs to 54.88 kg (121 × 0.453592). Dose is 1 mg/kg, so 54.88 mg. Concentration is 4 mg/mL (40 mg/10 mL), so 54.88 ÷ 4 = 13.72 mL, rounded to 13.7 mL.
Question 4 of 5
Which initial assessment findings would the nurse expect in a client diagnosed with acute lymphocytic leukemia ALL? (SELECT ALL THAT APPLY)
Correct Answer: D,E
Rationale: Petechiae and epistaxis are common due to thrombocytopenia in ALL, causing bleeding tendencies. Ascites, alopecia, and edema are not typical initial findings; alopecia may occur post-chemotherapy.
Question 5 of 5
The nurse is caring for a client with infectious endocarditis. Which information obtained from the health history could have contributed to the development of the disease progress?
Correct Answer: C
Rationale: Intravenous substance use is a major risk factor for infectious endocarditis due to the introduction of bacteria into the bloodstream via non-sterile needles, leading to valve infection.