ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
A client problem of Risk for Ineffective Airway Clearance has been made for a client who has undergone surgery for oral cancer. What should the nurse include in the plan of care?
Correct Answer: C
Rationale: Assessing cough and swallow ability is critical for airway clearance and managing secretions post-oral surgery.
Question 2 of 5
The nurse is caring for a client who has had a stroke and who has received tissue plasminogen activator (t-PA) on admission. The family member requests to bring in a razor for the client to use. Which response from the family would indicate an understanding teaching related to t-PA? The family member states, 'I will
Correct Answer: C
Rationale: An electric razor minimizes the risk of cuts and bleeding, which is crucial for a patient on t-PA due to its thrombolytic effects increasing bleeding risk.
Question 3 of 5
Which statement, made by a client being discharged to home after a radical cystectomy, indicates a need for further clarification by the nurse? 'I will:
Correct Answer: B
Rationale: After a radical cystectomy, normal voiding is not possible due to bladder removal; clients typically have a urinary diversion, indicating a need for clarification.
Question 4 of 5
The nurse is evaluating the following rhythm strip on a client in the telemetry unit. The client is alert and oriented but complains of slight nausea after eating breakfast. What is the nurse's best action?
Correct Answer: D
Rationale: Sinus tachycardia with mild symptoms warrants continued monitoring and assessment rather than immediate intervention.
Question 5 of 5
A nurse is teaching a health promotion class about preventing cancer. Which statement by a client indicates understanding of gastric cancer risk factors?
Correct Answer: B
Rationale: Consuming large amounts of salted, smoked, and processed foods has been shown to increase the risk of gastric cancer. These foods contain nitrates and nitrites, which can be converted into cancer-causing compounds in the stomach.