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 2 hours ago for adenocarcinoma removal. It would be necessary for the nurse to immediately notify the surgeon if the client's assessment revealed:
Correct Answer: C
Rationale: Increasing abdominal distention is a critical sign of potential complications like an anastomotic leak or obstruction, necessitating immediate surgical attention.
Extract:
Blood Cell Normal Ranges
Red blood cells (mature, circulating)
• Male 4.51-6.01 million/mm3
• Female: 4.01-5.51 million/mm3
Hemoglobin
• Adult (15-64 yr)
• Male 14-17.3 g/dL
• Female 11.7-15.5 g/dL
Hematocrit
• 42% -52% in males
• 36% -48% in females
Reticulocytes 0.5% -2.5% of total RBC count
White blood cells (total) 4.5-11.1 103/mm3
Neutrophils
• 59%
• Bands 3%
• Segs-56%
Eosinophils 2.7%
Basophils 0.5%
Lymphocytes 34%
Monocytes 4%
Platelets 150,000-450,000/mm3
Question 2 of 5
A client is post-op nephrectomy for renal cancer. Which lab results would cause most concern for the nurse?
Correct Answer: C
Rationale: An elevated WBC count (normal 4.5-11.1 x 10³/mm³) post-nephrectomy suggests possible infection or inflammation, a critical concern requiring further investigation.
Extract:
Question 3 of 5
The nurse notes that the client's rhythm strip indicates a PR-interval of 0.28 seconds. What is the nurse's analysis of this problem?
Correct Answer: D
Rationale: In 1st degree AV block, the PR interval is consistently prolonged, usually more than 0.20 seconds, but it is a constant, non-variable delay in the conduction between the atria and ventricles. A PR interval of 0.28 seconds is characteristic of a first-degree AV block.
Question 4 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 5 of 5
To prevent the reoccurrence of prostatitis, the nurse should provide the client with which discharge instruction?
Correct Answer: B
Rationale: Frequent voiding reduces urinary stasis, decreasing the risk of bacterial growth and prostatitis recurrence.