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 temporary transvenous pacemaker inserted. The cardiac monitor shows pacemaker spikes occurring at various points in the client's own beats such as on the T wave. What action is the nurse's priority?
Correct Answer: D
Rationale: Pacemaker spikes on the T wave indicate a sensing issue, requiring immediate notification of the provider.
Question 2 of 5
The nurse educates a community group regarding measures that will assist in the prevention of skin cancer. Which of the following statements addresses the need for further teaching?
Correct Answer: C
Rationale: Decreasing tanning bed use to twice a month still poses a significant skin cancer risk due to UV exposure.
Question 3 of 5
What genetic abnormality would a nurse expect in a client diagnosed with Chronic Myelogenous Leukemia (CML)?
Correct Answer: D
Rationale: The Philadelphia chromosome, a translocation between chromosomes 9 and 22 forming the BCR-ABL fusion gene, is the hallmark genetic abnormality in CML.
Question 4 of 5
A client, who is receiving intravenous chemotherapy into a peripheral vein, says that the arm burns terribly in and around the intravenous site. What is the nurse's best first action?
Correct Answer: C
Rationale: Discontinuing the infusion prevents further tissue damage from potential extravasation.
Question 5 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.