ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client diagnosed with acute myelogenous leukemia (AML) who is receiving outpatient chemotherapy. What should the nurse include in the teaching plan for this client?
Correct Answer: C,D
Rationale: C: Fever above 100.2°F indicates possible infection in immunocompromised patients. D: Raw vegetables pose infection risk. A and B are less critical or risky.
Question 2 of 5
Which intervention(s) should the nurse include in the post-operative care of a client following a permanent pacemaker insertion? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: A: Prevents infection. B: Limits movement to protect leads. D: Detects complications. C and E are incorrect as leads are not removed, and vigorous activity is avoided.
Question 3 of 5
The nurse administers atropine 0.5 mg IV to a client. Which action should be performed after the client has received this medication?
Correct Answer: D
Rationale: Atropine causes dry mouth, necessitating frequent oral care to prevent discomfort.
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
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.