ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The nurse is assessing a client who is postoperative following a cholecystectomy. The client reports right shoulder pain. Which action should the nurse take first?
Correct Answer: D
Rationale: Right shoulder pain post-cholecystectomy is likely referred pain from diaphragmatic irritation (phrenic nerve). Notifying the provider ensures evaluation for complications like bile leak.
Question 2 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 3 of 5
The nurse is caring for a client with infectious endocarditis. Which information obtained from the health history could have contributed to the development of the disease progress?
Correct Answer: C
Rationale: Intravenous substance use is a major risk factor for infectious endocarditis due to the introduction of bacteria into the bloodstream via non-sterile needles, leading to valve infection.
Question 4 of 5
The nurse is caring for a patient in the Intensive Care Unit (ICU) with a ventriculostomy and intracranial pressure (ICP) reading of 30mmHg. The nurse notes a widened pulse pressure, irregular respirations. and bradycardia. The neurosurgeon instructs the nurse to drain cerebrospinal fluid. The nurse would also anticipate which medication administration order from the provider?
Correct Answer: A
Rationale: 3% Normal Saline reduces ICP by drawing fluid from brain tissue, addressing Cushing's triad (widened pulse pressure, irregular respirations, bradycardia). Nitroprusside and norepinephrine affect blood pressure, and furosemide is less effective for acute ICP.
Question 5 of 5
A client who has been on a mechanical ventilator for three days develops a fever of 101 degrees Fahrenheit green sputum, and right lower lobe crackles. The nurse contacts the physician regarding possible development of which complication?
Correct Answer: A
Rationale: Fever, green sputum, and crackles suggest ventilator-associated pneumonia, a common complication after 48 hours on a ventilator.