ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has suspected hemorrhagic stroke from a ruptured cerebral aneurysm. Which of the following manifestations would the nurse expect?
Correct Answer: D
Rationale: A sudden, severe headache ('worst headache of my life') is classic for a ruptured cerebral aneurysm, causing hemorrhagic stroke.
Question 2 of 5
The nurse is caring for a patient who sustained a spinal cord injury (SCI) at T1. The alarm on the monitor sounds because the patient's blood pressure is 86/50 and the heart rate is 44. The nurse's priority action would be to:
Correct Answer: A
Rationale: Hypotension and bradycardia suggest neurogenic shock in T1 SCI. Assessing neurological status and repeating vital signs confirm the cause, guiding treatment. Other options are premature or inappropriate.
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 patient with a history of atrial fibrillation who is prescribed warfarin. Sometimes I forget my medication, so l double up doses when I remember The patient's PT and INR are highly elevated. The nurse anticipates the transfusion of which blood product?
Correct Answer: D
Rationale: Fresh Frozen Plasma replaces clotting factors inhibited by warfarin, reversing elevated PT/INR. PRBCs treat anemia, platelets address thrombocytopenia, and cryoprecipitate provides fibrinogen, none of which are primary concerns here.
Question 5 of 5
The nurse is caring for a client diagnosed with Myasthenia Gravis (MG) who is post op thymectomy. The client problem is Ineffective Breathing Pattern, Which action would the nurse include in the plan of care?
Correct Answer: A
Rationale: Frequent respiratory assessments detect worsening muscle weakness in MG, critical post-thymectomy to prevent respiratory failure.