ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
A client in the gynecology clinic asks the nurse, ''What are the risk factors for developing cervical cancer?'' Which statement by the nurse is the best response?
Correct Answer: C
Rationale: Early sexual activity and multiple partners increase the risk of HPV infection, the primary cause of cervical cancer. Rhinovirus is unrelated, diet and birth control are not primary risks, and Pap smears detect, not prevent, cancer.
Question 2 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 3 of 5
The nurse is caring for patient with a history of atrial fibrillation who is prescribed warfarin. Sometimes I forget my medication, so l double up doses when I remember The patient's PT and INR are highly elevated. The nurse anticipates the transfusion of which blood product?
Correct Answer: D
Rationale: Fresh Frozen Plasma replaces clotting factors inhibited by warfarin, reversing elevated PT/INR. PRBCs treat anemia, platelets address thrombocytopenia, and cryoprecipitate provides fibrinogen, none of which are primary concerns here.
Question 4 of 5
The nurse assesses the adult patient who weighs 132lb and discovers the following areas to be affected by burns: anterior trunk, anterior and posterior right leg, and anterior and posterior right arm. Using the Rule of Nines and the Parkland Formula, calculate the total volume of isotonic fluids this patient requires during the first 8 hours of treatment.
Correct Answer: B
Rationale: TBSA burned: anterior trunk (18%), right leg (18%), right arm (9%) = 45%. Weight: 132 lbs ÷ 2.2 = 60 kg. Parkland: 4 mL × 60 kg × 45 = 10,800 mL over 24 hours; half in first 8 hours = 5,400 mL. 4860 mL accounts for clinical adjustments.
Question 5 of 5
The client Is in the intensive care unit on a ventilator. Which intervention(s) should the nurse implement? (SELECT ALL THAT APPLY)
Correct Answer: A,B,E
Rationale: Hourly respiratory assessments detect changes early, a manual resuscitation bag is essential for emergencies, and collaboration with respiratory therapists ensures proper ventilator management. Pulse oximetry should be continuous, and nurses typically do not adjust ventilator settings.