ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
A client who is postoperative following a coronary artery bypass graft (CABG) has a blood pressure of 90/50 mmHg, heart rate of 112 beats/min, respiratory rate of 28 breaths/min, and an oxygen saturation of 90% on 2L of oxygen via nasal cannula. Which action should the nurse take first?
Correct Answer: A
Rationale: Low oxygen saturation (90%) indicates hypoxemia, a priority. Increasing oxygen to 4L addresses this immediately, before fluids, notification, or positioning.
Question 2 of 5
A nurse is caring for a client who is to start chemotherapy treatment advanced breast cancer. She tells the nurse she is worried about the adverse effects of the treatment. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Asking about specific concerns encourages the client to express fears, allowing tailored education and support.
Question 3 of 5
The nurse easily and quickly assesses changes in level of consciousness (eye opening, verbal responses motor response) using which neurological exams?
Correct Answer: A
Rationale: The Glasgow Coma Scale assesses consciousness via eye, verbal, and motor responses, ideal for rapid neurological evaluation.
Question 4 of 5
The nurse is caring for a patient diagnosed with an injury to the cerebellum who cannot complete the Romberg Test. Which nursing intervention is priority?
Correct Answer: A
Rationale: Cerebellar injury impairs balance, increasing fall risk. A bed alarm ensures safety, the priority intervention.
Question 5 of 5
The nurse is caring for a client with a history of seizures who is prescribed phenytoin. Which laboratory value should the nurse monitor?
Correct Answer: B
Rationale: Phenytoin can cause hepatotoxicity, so monitoring liver function tests is essential to detect potential liver damage.