ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client diagnosed with leukemia who has just completed a course of radiation therapy and chemotherapy in preparation for a bone marrow transplant. The nurse notices that the client is febrile, has foul smelling urine, and is complaining of urinary frequency and dysuria. What is the priority nursing action?
Correct Answer: B
Rationale: Obtaining vital signs and a urine specimen is the priority to assess for infection (e.g., UTI) and guide treatment in an immunocompromised client.
Question 2 of 5
The nurse is evaluating the client's understanding of discharge instructions after a total hip replacement. The nurse asks the client what type of seating should be used. The client's correct response should be a:
Correct Answer: B
Rationale: A dining room chair with armrests supports safe sitting and standing post-hip replacement.
Question 3 of 5
The nurse is caring for a client who has had a stroke and who has received tissue plasminogen activator (t-PA) on admission. The family member requests to bring in a razor for the client to use. Which response from the family would indicate an understanding teaching related to t-PA? The family member states, 'I will
Correct Answer: C
Rationale: An electric razor minimizes the risk of cuts and bleeding, which is crucial for a patient on t-PA due to its thrombolytic effects increasing bleeding risk.
Question 4 of 5
The nurse observes the rhythm below for a client on the telemetry unit. Which laboratory value result would the nurse suspect contributed to the development of this dysrhythmia?
Correct Answer: B
Rationale: Hypermagnesemia (2.5 mg/dL) can contribute to torsades de pointes by affecting cardiac electrical stability.
Question 5 of 5
The nurse identifies the client problem of Impaired Verbal Communication for a client following a stroke who exhibits expressive aphasia. An appropriate nursing intervention to help the client to communicate is to:
Correct Answer: A
Rationale: Asking simple yes or no questions facilitates communication by reducing the verbal output required, helping clients with expressive aphasia express needs without frustration.