ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The neurologic assessment of a patient indicates impaired function of the glossopharyngeal (CN IX) and the vagus nerve (CN X). Based on these findings the nurse plans to:
Correct Answer: B
Rationale: Withholding oral fluids/foods reduces aspiration risk due to impaired swallowing from CN IX and X dysfunction.
Question 2 of 5
A patient is ordered 20 unit/kg IV bolus of Heparin. The patient weighs 154 lbs. Heparin is supplied 25,000 units/250 mL. How many mL will the nurse administer? (round to the nearest whole number)
Correct Answer: 14 mL
Rationale: 154 lbs ÷ 2.2 = 70 kg; 20 units/kg × 70 kg = 1400 units; 1400 units ÷ (25,000 units/250 mL) = 14 mL.
Question 3 of 5
The husband of a client with cervical carcinoma in situ says to the nurse, 'The doctor just told my wife that her cancer is curable. Is the doctor just trying to make us feel better?' The nurse's most accurate response would be:
Correct Answer: C
Rationale: Cervical carcinoma in situ, when detected early, has a high cure rate with aggressive treatment, accurately addressing the husband's concern.
Question 4 of 5
What genetic abnormality would a nurse expect in a client diagnosed with Chronic Myelogenous Leukemia (CML)?
Correct Answer: D
Rationale: The Philadelphia chromosome, a translocation between chromosomes 9 and 22 forming the BCR-ABL fusion gene, is the hallmark genetic abnormality in CML.
Question 5 of 5
The nurse is caring for a client that has undergone a modified left radical mastectomy with lymph node removal. Which intervention would assist in preventing lymphedema?
Correct Answer: D
Rationale: Elevating the arm above heart level promotes lymphatic drainage, reducing fluid accumulation and the risk of lymphedema post-mastectomy.