ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The neurologic assessment of a patient indicated impaired function of the glossopharyngeal nerve (CN 10) and the vagus nerve (C.N X). Based on these findings, the nurse plans to:
Correct Answer: B
Rationale: Impaired CN IX and X increase aspiration risk due to swallowing difficulties, so withholding oral intake is priority to prevent pneumonia.
Question 2 of 5
The nurse is caring for a client who has a biventricular pacemaker. Which instruction should the nurse include in the discharge teaching?
Correct Answer: C
Rationale: No heavy lifting for 6-8 weeks prevents pacemaker lead dislodgement, a critical instruction for recovery.
Question 3 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 4 of 5
The nurse is teaching a client with type 2 diabetes mellitus about self-monitoring of blood glucose. Which statement by the client indicates understanding?
Correct Answer: B
Rationale: Using the sides of fingers for blood glucose sampling reduces pain and nerve damage, indicating correct technique.
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.