ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client diagnosed with Myasthenia Gravis (MG) who is post op thymectomy. The client problem is Ineffective Breathing Pattern, Which action would the nurse include in the plan of care?
Correct Answer: A
Rationale: Frequent respiratory assessments detect worsening muscle weakness in MG, critical post-thymectomy to prevent respiratory failure.
Question 2 of 5
The nurse is caring for client who has had a stroke and who received tissue plasminogen activator(t-PA) 6 hours ago. The nurse identifies which of the following symptoms are indications of an intracerebral hemorrhage post thrombolytic therapy?
Correct Answer: B
Rationale: Decline in neurological status and elevated blood pressure indicate intracerebral hemorrhage post-tPA, due to bleeding causing brain compression and compensatory hypertension.
Question 3 of 5
The Operating Room (OR) nurse is preparing to give report to the Intensive Care Unit (ICU) nurse on a patient who has had surgery after suffering penetrating chest and abdominal trauma. What should the nurse include in the report? (Select All that Apply.)
Correct Answer: A,B,C,E
Rationale: Injury details, vital signs, procedure, tolerance, intake/output, and medications/IV sites are critical for ICU care. Family presence is secondary.
Question 4 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 5 of 5
A nurse is caring for a client who has a new diagnosis of bladder cancer Which of the following interventions should the nurse take to promote comfort?
Correct Answer: A
Rationale: Honest answers reduce anxiety and build trust, promoting comfort in a client with a new cancer diagnosis. Avoiding eye contact, limiting explanations, or choices can increase distress.