ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The nurse is assessing a client who had a surgical excision of a basal cell carcinoma one week ago. Assessment findings include redness, warmth, and serosanguinous drainage from the site. What would be the priority action by the nurse?
Correct Answer: A
Rationale: Culturing the wound confirms infection, guiding appropriate treatment for redness, warmth, and drainage.
Question 2 of 5
The physician recommends a carotid endarterectomy for a client with atherosclerosis and a history of transient ischemic attacks (TIAS). The nurse explains that this procedure involves:
Correct Answer: B
Rationale: Carotid endarterectomy removes atherosclerotic plaques from the carotid artery in the neck to improve blood flow and reduce stroke risk.
Question 3 of 5
The nurse is planning care that would decrease the risk for infection in a client who is recovering from a colectomy. The nurse would include which intervention(s)?
Correct Answer: A,D,E
Rationale: Incentive spirometry, aseptic dressing changes, and TEDS/SCDs reduce infection risk by preventing pneumonia, protecting the surgical site, and improving circulation.
Question 4 of 5
The nurse is reviewing the laboratory values for the client diagnosed with heart failure and notes the sodium level is 128 mEq/L (normal 135-145mEq/L). How should the nurse interpret this finding?
Correct Answer: B
Rationale: Hyponatremia in heart failure results from fluid retention, diluting sodium levels.
Question 5 of 5
A client admitted to the Emergency Department (ED) and the cardiac monitor shows multifocal premature ventricular contractions (PVC's). Initial laboratory findings are as follows. The nurse recognizes that the client's PVC's are most likely caused by:
Correct Answer: C
Rationale: Hypokalemia (2.8 mEq/L) is a known cause of PVCs due to its effect on cardiac repolarization.