ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The client diagnosed with Parkinson's Disease (PD) is being admitted with a fever and patchy infiltrates in the lung fields on the chest x-ray. Which clinical manifestations of PD would explain this assessment data?
Correct Answer: D
Rationale: Difficulty swallowing (dysphagia) in PD increases aspiration risk, leading to pneumonia with fever and lung infiltrates. Other PD symptoms like mask-like face, bradykinesia, or tremors do not directly cause pneumonia.
Question 2 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.
Question 3 of 5
The nurse is caring for a client who has a nasogastric (NG) tube in place. Which action should the nurse take to verify tube placement?
Correct Answer: B
Rationale: Checking the pH of gastric aspirate (pH < 5) confirms NG tube placement in the stomach, a non-invasive and reliable method.
Question 4 of 5
The nurse notices a yellow stain around fluid dripping from a patient's ear who sustained a traumatic brain injury. The nurse's priority intervention will be as follows:
Correct Answer: C
Rationale: Yellow-stained fluid suggests cerebrospinal fluid leak, a TBI complication. Allowing drainage prevents pressure buildup, and notifying the provider ensures further evaluation. Pressure dressings or antibiotics are premature, and IV fluids are unrelated.
Question 5 of 5
The nurse is caring for a client who has a chest tube in place following a pneumothorax. Which assessment finding indicates that the chest tube is functioning properly?
Correct Answer: B
Rationale: Fluctuation (tidaling) in the water seal chamber with respirations indicates the chest tube is patent and functioning, reflecting pleural pressure changes.