ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
A client who has been on a mechanical ventilator for three days develops a fever of 101 degrees Fahrenheit green sputum, and right lower lobe crackles. The nurse contacts the physician regarding possible development of which complication?
Correct Answer: A
Rationale: Fever, green sputum, and crackles suggest ventilator-associated pneumonia, a common complication after 48 hours on a ventilator.
Question 2 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 3 of 5
A client diagnosed with a stroke complains of a severe headache. Which intervention would be the nursing priority?
Correct Answer: A
Rationale: A severe headache post-stroke may indicate hemorrhage or increased ICP, requiring a STAT CT scan to guide treatment.
Question 4 of 5
The nurse is caring for client who has had a stroke and who received tissue plasminogen activator(t-PA) 6 hours ago. The nurse identifies which of the following symptoms are indications of an intracerebral hemorrhage post thrombolytic therapy?
Correct Answer: B
Rationale: Decline in neurological status and elevated blood pressure indicate intracerebral hemorrhage post-tPA, due to bleeding causing brain compression and compensatory hypertension.
Question 5 of 5
In educating clients about ovarian cancer the nurse emphasizes death rates for ovarian cancer are high because:
Correct Answer: A
Rationale: Ovarian cancer's high death rate is due to its asymptomatic early stages, leading to late diagnosis. Radiation effectiveness, cell resistance, and age are secondary factors.