ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The nurse is assessing a client with a suspected pulmonary embolism. Which assessment finding is most indicative of this condition?
Correct Answer: B
Rationale: Pleuritic chest pain, worsened by breathing, is a hallmark of pulmonary embolism due to pleural irritation from emboli.
Question 2 of 5
The nurse is caring for a client who is postoperative following a mastectomy. The client expresses feelings of loss and decreased self-esteem. Which response by the nurse is most therapeutic?
Correct Answer: A
Rationale: Reflecting the client's feelings validates their emotions, encouraging further expression and therapeutic communication.
Question 3 of 5
The nurse is caring for a client who is receiving mechanical ventilation. Which action should the nurse take to prevent ventilator-associated pneumonia?
Correct Answer: B
Rationale: Regular oral care reduces oral bacteria, decreasing the risk of ventilator-associated pneumonia.
Question 4 of 5
The nurse is caring for a client who has a nasogastric (NG) tube in place. Which action should the nurse take to verify tube placement?
Correct Answer: B
Rationale: Checking the pH of gastric aspirate (pH < 5) confirms NG tube placement in the stomach, a non-invasive and reliable method.
Question 5 of 5
The nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). The client's urine in the catheter bag is bright red with clots. Which action should the nurse take first?
Correct Answer: A
Rationale: Bright red urine with clots indicates possible bleeding or clot obstruction. Irrigating the catheter clears clots, maintaining patency and preventing complications.