ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has a nasogastric (NG) tube in place. Which action should the nurse take to verify tube placement?
Correct Answer: B
Rationale: Checking the pH of gastric aspirate (pH < 5) confirms NG tube placement in the stomach, a non-invasive and reliable method.
Question 2 of 5
The nurse is caring for a patient diagnosed with an injury to the cerebellum who cannot complete the Romberg Test. Which nursing intervention is priority?
Correct Answer: A
Rationale: Cerebellar injury impairs balance, increasing fall risk. A bed alarm ensures safety, the priority intervention.
Question 3 of 5
The nurse is caring for a client who is postoperative following a mastectomy. The client expresses feelings of loss and decreased self-esteem. Which response by the nurse is most therapeutic?
Correct Answer: A
Rationale: Reflecting the client's feelings validates their emotions, encouraging further expression and therapeutic communication.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of bladder cancer Which of the following interventions should the nurse take to promote comfort?
Correct Answer: A
Rationale: Honest answers reduce anxiety and build trust, promoting comfort in a client with a new cancer diagnosis. Avoiding eye contact, limiting explanations, or choices can increase distress.
Question 5 of 5
The client Is in the intensive care unit on a ventilator. Which intervention(s) should the nurse implement? (SELECT ALL THAT APPLY)
Correct Answer: A,B,E
Rationale: Hourly respiratory assessments detect changes early, a manual resuscitation bag is essential for emergencies, and collaboration with respiratory therapists ensures proper ventilator management. Pulse oximetry should be continuous, and nurses typically do not adjust ventilator settings.