ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
A client has numerous skin lesions. Which one will the nurse evaluate first?
Correct Answer: D
Rationale: An irregular, blue mole with white specks suggests possible melanoma, requiring immediate evaluation due to its malignant potential.
Question 2 of 5
The nurse observes the following rhythm of a client on the telemetry unit. Which action should be completed first?
Correct Answer: D
Rationale: Ventricular tachycardia requires immediate assessment of responsiveness and pulse to determine if the patient is stable or in cardiac arrest.
Question 3 of 5
A client returns to the surgical unit following a right modified radical mastectomy with dissection of axillary lymph nodes. An appropriate nursing intervention in the postoperative care for the client includes:
Correct Answer: C
Rationale: A limb alert bracelet prevents procedures on the affected arm, reducing lymphedema risk post-lymph node dissection.
Question 4 of 5
The nurse is providing discharge instructions to a client who has had a permanent pacemaker inserted. The information in the chart indicates that the device is a DDD. What will the nurse explain about this pacemaker?
Correct Answer: B
Rationale: A DDD pacemaker has wires in the right atrium and right ventricle to monitor and pace both chambers when needed, ensuring coordinated atrial and ventricular activity.
Question 5 of 5
The nurse is evaluating the outcomes for a client diagnosed with disseminated intravascular coagulation (DIC). Which laboratory value reflects a positive outcome?
Correct Answer: A
Rationale: A decreased D-dimer level indicates reduced clot formation and breakdown, a positive outcome in DIC.