ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 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.
Question 2 of 5
The nurse is caring for a client diagnosed with Myasthenia Gravis (MG) who is post op thymectomy. The client problem is Ineffective Breathing Pattern, Which action would the nurse include in the plan of care?
Correct Answer: A
Rationale: Frequent respiratory assessments detect worsening muscle weakness in MG, critical post-thymectomy to prevent respiratory failure.
Question 3 of 5
The nurse is evaluating the outcomes for a client diagnosed with disseminated intravascular coagulation (DIC). Which laboratory value reflects a positive outcome?
Correct Answer: D
Rationale: A decreased D-dimer level indicates reduced fibrinolysis and resolution of DIC, a positive outcome. Prolonged PT and decreased platelets are signs of ongoing DIC, and fibrinogen is typically low, not elevated.
Question 4 of 5
The nurse is caring for a patient diagnosed with an injury to the cerebellum who cannot complete the Romberg Test. Which nursing intervention is priority?
Correct Answer: A
Rationale: Cerebellar injury impairs balance, increasing fall risk. A bed alarm ensures safety, the priority intervention.
Question 5 of 5
A nurse is assessing a client who has mitral valve stenosis Which of the following findings should the nurse except?
Correct Answer: B
Rationale: Mitral valve stenosis causes a diastolic heart murmur due to turbulent blood flow from the left atrium to the ventricle. Clubbing is linked to hypoxia, barrel chest to COPD, and bradycardia is not typical.