ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). The client's urine in the catheter bag is bright red with clots. Which action should the nurse take first?
Correct Answer: A
Rationale: Bright red urine with clots indicates possible bleeding or clot obstruction. Irrigating the catheter clears clots, maintaining patency and preventing complications.
Question 2 of 5
The nurse is caring for client who has had a stroke and who received tissue plasminogen activator(t-PA) 6 hours ago. The nurse identifies which of the following symptoms are indications of an intracerebral hemorrhage post thrombolytic therapy?
Correct Answer: B
Rationale: Decline in neurological status and elevated blood pressure indicate intracerebral hemorrhage post-tPA, due to bleeding causing brain compression and compensatory hypertension.
Question 3 of 5
The nurse understands the primary assessment for a patient following a major trauma:
Correct Answer: B
Rationale: The ABCDE (Airway, Breathing, Circulation, Disability, Exposure) approach prioritizes life-threatening issues in trauma assessment.
Question 4 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.
Question 5 of 5
The nurse is caring for a patient who sustained a spinal cord injury (SCI) at T1. The alarm on the monitor sounds because the patient's blood pressure is 86/50 and the heart rate is 44. The nurse's priority action would be to:
Correct Answer: A
Rationale: Hypotension and bradycardia suggest neurogenic shock in T1 SCI. Assessing neurological status and repeating vital signs confirm the cause, guiding treatment. Other options are premature or inappropriate.