ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has a continuous bladder irrigation (CBI) infusing. At the end of the shift, the nurse calculates the urine output. The client received a total of 2700 mL of the irrigation and emptied a total of 3375 ml from the urine catheter. What should the nurse record as the client's true urine output?
Correct Answer: B
Rationale: True urine output = 3375 mL (total) ˆ’ 2700 mL (irrigation) = 675 mL.
Question 2 of 5
The physician has just informed a client with advanced heart failure that a left ventricular assist device (LVAD) will be needed. The client is crying and says to the nurse, 'I just know that I am going to die. What's the point of treatment?' The priority nursing action is to:
Correct Answer: C
Rationale: Expressions of hopelessness require assessing for suicidal ideation to ensure patient safety.
Question 3 of 5
A client admitted to the Emergency Department (ED) and the cardiac monitor shows multifocal premature ventricular contractions (PVC's). Initial laboratory findings are as follows. The nurse recognizes that the client's PVC's are most likely caused by:
Correct Answer: C
Rationale: Hypokalemia (2.8 mEq/L) is a known cause of PVCs due to its effect on cardiac repolarization.
Question 4 of 5
The nurse is caring for a client who has been newly diagnosed with cancer. The client has become withdrawn from family members. Which strategy will the nurse use to assist the client at this time?
Correct Answer: B
Rationale: Encouraging verbalization of feelings fosters emotional processing and support for the client.
Question 5 of 5
The husband of a client with cervical carcinoma in situ says to the nurse, 'The doctor just told my wife that her cancer is curable. Is the doctor just trying to make us feel better?' The nurse's most accurate response would be:
Correct Answer: C
Rationale: Cervical carcinoma in situ, when detected early, has a high cure rate with aggressive treatment, accurately addressing the husband's concern.