ATI RN
ATI Nur258 Med Surg 2 Final Exam Questions
Extract:
Question 1 of 5
A client survived a workplace accident that claimed the lives of many of the client's colleagues several months ago. The client has recently sought care for the treatment of depression. How should the nurse best understand the client's current mental health problem?
Correct Answer: B
Rationale: Experiencing depression following a disaster is a common response. Survivors often experience a range of emotional responses, including depression, due to the trauma and loss associated with the event.
Question 2 of 5
An 82-year-old client who sustained a head injury in a motor vehicle crash while on warfarin therapy is admitted for observation. The nurse is providing teaching regarding the client's diagnosis of a subdural hematoma. Which of the following statements by the client indicates an understanding of teaching?
Correct Answer: C
Rationale: Taking a blood thinner like warfarin increases the risk of bleeding and hematoma formation, particularly when combined with head trauma. This statement correctly links the anticoagulant therapy and head injury as contributing factors to the subdural hematoma.
Question 3 of 5
A nurse is caring for a client who has human immunodeficiency virus (HIV). Which of the following laboratory values would be most concerning to the nurse?
Correct Answer: D
Rationale: A WBC count of 800/mm³ is severely low and indicates a high risk for infection, which is particularly concerning in a client with HIV, as it suggests significant immunosuppression and vulnerability to opportunistic infections.
Question 4 of 5
The nurse is caring for a client who is having chest pain. The healthcare provider prescribes an infusion of nitroglycerin. The initial dose is 12 mcg/min. The nitroglycerin is dispensed at a concentration of 100 mg/ 250 mL. How many mL/hr will the nurse set the infusion pump? (Round rate to the nearest tenth. Only enter numbers and decimals. Do not enter any letters in your answer.)
Correct Answer: 1.8
Rationale: Infusion rate = 0.72 mg/hr / 0.4 mg/mL = 1.8 mL/hr
Question 5 of 5
A nurse is caring for a client who has hemophilia A and hemarthrosis of the left knee. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Assessing the client's activated partial thromboplastin time (aPTT) is important to monitor the effectiveness of treatment and manage bleeding risk. Hemophilia A is characterized by a deficiency in clotting factor VIII, which prolongs the aPTT.