Questions 168

ATI RN

ATI RN Test Bank

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.

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