ATI RN
ATI Med Surg Nursing 300 day Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client receiving a heparin infusion for disseminated intravascular coagulation (DIC). Which of the following lab results would indicate a sub-therapeutic level? An activated partial thromboplastin time (aPTT) of :(normal value: 25-35 seconds)
Correct Answer: D
Rationale: An aPTT of 69 seconds is above normal but likely below the therapeutic range (1.5-2.5 times normal) for heparin in DIC.
Question 2 of 5
A client diagnosed with acute myelogenous leukemia (AML) develops a platelet count of 10,000 mm3 during chemotherapy treatment. What is an appropriate nursing intervention for this client, based on this finding?
Correct Answer: C
Rationale: Low platelets increase infection risk; monitoring temperature detects febrile neutropenia early for timely intervention.
Question 3 of 5
The patient presents with a complaint of 'always dropping things and falling down.' During the neurologic assessment, the nurse observes that the patient's display of rapid alternating movements is slow and misses often. The patient also loses balance during the Romberg Test. What neurologic problem would the nurse suspect?
Correct Answer: C
Rationale: Cerebellar dysfunction causes coordination and balance issues, as seen in slow alternating movements and Romberg Test failure.
Question 4 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 5 of 5
The nurse prepares to assess the patient's cranial nerves. Which tool is necessary to assess cranial nerve (CN) III (oculomotor)?
Correct Answer: B
Rationale: A penlight is used to assess CN III (oculomotor) by evaluating the pupil's response to light and the ability to move the eye, as this nerve controls pupil constriction and most eye movements.