ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client that has undergone a modified left radical mastectomy with lymph node removal. Which intervention would assist in preventing lymphedema?
Correct Answer: D
Rationale: Elevating the arm above heart level promotes lymphatic drainage, reducing fluid accumulation and the risk of lymphedema post-mastectomy.
Question 2 of 5
The nurse is performing an admission assessment of an older adult client with a history of chronic heart failure. The client exhibits +2 pitting edema of the ankles and bibasilar crackles. Based on these findings what action should the nurse take next?
Correct Answer: A
Rationale: Weighing the client establishes a baseline to monitor fluid retention, critical in heart failure management.
Question 3 of 5
The nurse is performing discharge planning for a client newly diagnosed with type 1 diabetes mellitus. It would be most important for the plan to include:
Correct Answer: C
Rationale: Consistently elevated blood glucose levels above 200 mg/dL indicate poor diabetes control and require prompt reporting to prevent complications like diabetic ketoacidosis.
Question 4 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 5 of 5
The client's arterial blood gases reveal the following results: pH 7.51, PaO2 80 mmHg, PaCO2 28 mmHg, HCO3 24 mEq/L, O2 saturation 92%. The nurse interprets this blood gas result as:Table 9.9 Normal Arterial Blood Gas Values pH (7.35-7.45) PaO2 (80-95 mm Hg) PaCO2 (35-45 mm Hg) HCO3 (22-26 mEq/L) O2 saturation (>95%) Base excess -2 to +2
Correct Answer: A
Rationale: Elevated pH (7.51) and low PaCO2 (28 mmHg) indicate respiratory alkalosis, likely due to hyperventilation.