ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
A client, who has undergone a transurethral resection of the bladder tumor (TURBT), complains of bladder spasms and has continuous bladder irrigation running. Which nursing action is most appropriate for this problem?
Correct Answer: C
Rationale: Belladonna and opium suppositories relax bladder muscles, effectively relieving spasms post-TURBT.
Question 2 of 5
The nurse is caring for a client in the immediate postoperative period following a pancreatoduodenectomy (Whipple) procedure. The nurse is assessing for decreased fluid volume in the client. What would the nurse assess first?
Correct Answer: B
Rationale: Vital signs, cardiac rhythm, and peripheral pulses are the first indicators to assess for decreased fluid volume, as hypovolemia often manifests as tachycardia, hypotension, and weak peripheral pulses.
Question 3 of 5
A client is to receive a continuous infusion of IV Insulin at 6 units per hour. Pharmacy delivers a concentration of 75 units of regular insulin in 150 mL of NSS. At what rate should the nurse set the IV pump?
Correct Answer: 12 mL/h
Rationale: Calculate dilution factor (150 mL / 75 units = 2 mL/unit), then volume (6 units/h * 2 mL/unit = 12 mL/h).
Question 4 of 5
The nurse is reviewing the diagnostic studies on a client diagnosed with primary brain cancer. Which lab result would the nurse report to the Primary Care Practitioner (PCP) immediately?
Correct Answer: B
Rationale: Sodium 126 mEq/L indicates hyponatremia, which can cause neurological complications in brain cancer patients, requiring immediate reporting.
Question 5 of 5
A client was recently diagnosed with advanced Hodgkin's Lymphoma. Which sign or symptoms indicates that the lymphoma involves the presence of a mediastinal mass?
Correct Answer: A
Rationale: A mediastinal mass can compress airways or vessels, causing shortness of breath, especially when supine, a specific indicator of mediastinal involvement.