ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who had a bowel resection for colon cancer. The vital signs were stable during surgery. While in the post-anesthesia care unit (PACU) the client is sleepy but awakens easily. The pulse ox is 88%. What would be the priority action by the nurse?
Correct Answer: D
Rationale: Encouraging deep breaths improves oxygen saturation and ventilation, addressing low pulse ox in a post-anesthesia state.
Question 2 of 5
Which clinical manifestation would the nurse use to best indicate that the status of an elderly client's chronic heart failure condition is Improving?
Correct Answer: D
Rationale: Being alert and oriented X 3 indicates no signs of confusion or cognitive impairment, which can occur due to decreased cerebral perfusion in worsening heart failure. This suggests improved perfusion and oxygenation.
Question 3 of 5
The nurse is providing discharge instructions for the client diagnosed with heart failure. Which information should the nurse provide to assist the client to limit complications and prevent future hospitalizations? (SELECT ALL THAT APPLY).
Correct Answer: B,C,D
Rationale: B: Low sodium reduces fluid retention. C: Weight gain indicates fluid overload. D: Shortness of breath suggests worsening heart failure. A and E are incorrect due to fluid restriction needs and the necessity of medical guidance for diuretics.
Question 4 of 5
The nurse is caring for a client diagnosed with disseminated intravascular coagulation (DIC). When completing an assessment for decreased perfusion from clotting, the nurse would observe for which manifestation?
Correct Answer: A
Rationale: Cyanosis indicates poor oxygenation and perfusion due to clotting in DIC, affecting tissue oxygen delivery.
Question 5 of 5
The nurse, caring for a client diagnosed with testicular cancer, should anticipate a medical prescription for which of the following tumor marker studies? A/An:
Correct Answer: B
Rationale: hCG and AFP are specific tumor markers for testicular cancer, used to diagnose and monitor treatment response.