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 new prescription for warfarin. Which statement by the client indicates the need for further teaching?
Correct Answer: C
Rationale: A hard-bristled toothbrush increases bleeding risk in clients on warfarin, indicating a need for further teaching to use a soft-bristled brush.
Question 2 of 5
The nurse is caring for a client who has a biventricular pacemaker. Which instruction should the nurse include in the discharge teaching?
Correct Answer: C
Rationale: No heavy lifting for 6-8 weeks prevents pacemaker lead dislodgement, a critical instruction for recovery.
Question 3 of 5
The nurse is teaching a client about seeking medical attention for suspected melanoma skin cancer lesions. The client would demonstrate to the nurse an understanding of teaching by stating I will seek medical attention if the mole has:
Correct Answer: C
Rationale: Irregular borders are a warning sign of melanoma (ABCDE criteria). Single color, small diameter, and symmetry are typically benign.
Question 4 of 5
The nurse easily and quickly assesses changes in level of consciousness (eye opening, verbal responses motor response) using which neurological exams?
Correct Answer: A
Rationale: The Glasgow Coma Scale assesses consciousness via eye, verbal, and motor responses, ideal for rapid neurological evaluation.
Question 5 of 5
The neurologic assessment of a patient indicated impaired function of the glossopharyngeal nerve (CN 10) and the vagus nerve (C.N X). Based on these findings, the nurse plans to:
Correct Answer: B
Rationale: Impaired CN IX and X increase aspiration risk due to swallowing difficulties, so withholding oral intake is priority to prevent pneumonia.