ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has had a stroke and who has received tissue plasminogen activator (t-PA) on admission. The family member requests to bring in a razor for the client to use. Which response from the family would indicate an understanding teaching related to t-PA? The family member states, 'I will
Correct Answer: C
Rationale: An electric razor minimizes the risk of cuts and bleeding, which is crucial for a patient on t-PA due to its thrombolytic effects increasing bleeding risk.
Question 2 of 5
The nurse would assess the client diagnosed with disseminated intravascular coagulation (DIC) for which manifestation of the disorder?
Correct Answer: A
Rationale: Petechiae result from microvascular bleeding in DIC due to clotting factor consumption.
Question 3 of 5
The nurse is performing discharge planning for a client newly diagnosed with type 1 diabetes mellitus. It would be most important for the plan to include:
Correct Answer: C
Rationale: Consistently elevated blood glucose levels above 200 mg/dL indicate poor diabetes control and require prompt reporting to prevent complications like diabetic ketoacidosis.
Question 4 of 5
The nurse is assessing a client who had a surgical excision of a basal cell carcinoma one week ago. Assessment findings include redness, warmth, and serosanguinous drainage from the site. What would be the priority action by the nurse?
Correct Answer: A
Rationale: Culturing the wound confirms infection, guiding appropriate treatment for redness, warmth, and drainage.
Question 5 of 5
The patient presents with a complaint of 'always dropping things and falling down.' During the neurologic assessment, the nurse observes that the patient's display of rapid alternating movements is slow and misses often. The patient also loses balance during the Romberg Test. What neurologic problem would the nurse suspect?
Correct Answer: C
Rationale: Cerebellar dysfunction causes coordination and balance issues, as seen in slow alternating movements and Romberg Test failure.