ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
In providing care to a patient who sustained left sided 10th through 12th rib fractures, the nurse notes Kehr's Cullen's and Gray Turner's signs during assessment. Which abdominal organ is most likely to be affected by this trauma?
Correct Answer: C
Rationale: Kehr's (left shoulder pain), Cullen's (periumbilical bruising), and Gray Turner's (flank bruising) signs indicate splenic injury, common with left-sided rib fractures.
Question 2 of 5
The nurse understands the primary assessment for a patient following a major trauma:
Correct Answer: B
Rationale: The ABCDE (Airway, Breathing, Circulation, Disability, Exposure) approach prioritizes life-threatening issues in trauma assessment.
Question 3 of 5
The nurse is caring for a client with infectious endocarditis. Which information obtained from the health history could have contributed to the development of the disease progress?
Correct Answer: C
Rationale: Intravenous substance use is a major risk factor for infectious endocarditis due to the introduction of bacteria into the bloodstream via non-sterile needles, leading to valve infection.
Question 4 of 5
The client's arterial blood gases reveal the following results; pH 7.51. PaO2 80 mmHg, PaCO2 28 mmHg, HCO3-24 mEq/L. 02 saturation 92%. The nurse interprets this blood gas result as
Correct Answer: D
Rationale: pH 7.51 and low PaCO2 (28 mmHg) indicate respiratory alkalosis due to hyperventilation, causing excessive CO2 exhalation. Normal HCO3- rules out metabolic causes, and acidosis is incorrect due to high pH.
Question 5 of 5
A patient is to receive a continuous infusion of Diltiazem at 2.5 mg hr for Atrial fibrillation, The medication is supplied 125 mg of Diltlazem in 125 mL of IV fluid. At what rate should the nurse set the IV pump? (round to the nearest tenth)
Correct Answer: A
Rationale: Concentration: 125 mg/125 mL = 1 mg/mL. Dose: 2.5 mg/hr ÷ 1 mg/mL = 2.5 mL/hr. No rounding needed.