ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 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 2 of 5
The nurse is assessing a client who is postoperative following a cholecystectomy. The client reports right shoulder pain. Which action should the nurse take first?
Correct Answer: D
Rationale: Right shoulder pain post-cholecystectomy is likely referred pain from diaphragmatic irritation (phrenic nerve). Notifying the provider ensures evaluation for complications like bile leak.
Question 3 of 5
The nurse is caring for a patient in the Intensive Care Unit (ICU) with a ventriculostomy and intracranial pressure (ICP) reading of 30mmHg. The nurse notes a widened pulse pressure, irregular respirations. and bradycardia. The neurosurgeon instructs the nurse to drain cerebrospinal fluid. The nurse would also anticipate which medication administration order from the provider?
Correct Answer: A
Rationale: 3% Normal Saline reduces ICP by drawing fluid from brain tissue, addressing Cushing's triad (widened pulse pressure, irregular respirations, bradycardia). Nitroprusside and norepinephrine affect blood pressure, and furosemide is less effective for acute ICP.
Question 4 of 5
The nurse is caring for a patient in the acute care setting with a spinal cord injury (SCI) at the level of C-3. What is the main cause of complications or death related to this level of injury?
Correct Answer: A
Rationale: A spinal cord injury at C-3 affects the phrenic nerve (C3-C5), which controls the diaphragm, leading to respiratory compromise. This is the primary cause of complications or death due to the risk of respiratory failure, often requiring mechanical ventilation.
Question 5 of 5
The nurse identifies that which patient with a burn injury most likely require endotracheal intubation or tracheostomy tube? The patient with:
Correct Answer: D
Rationale: Thermal burns to the head, neck, face, and airway risk airway edema, necessitating intubation or tracheostomy to secure the airway.