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 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 2 of 5
The nurse is caring for a patient in the Intensive Care Unit (ICU) with a ventriculostomy and intracranial pressure (ICP) reading of 30mmHg. The nurse notes a widened pulse pressure, irregular respirations. and bradycardia. The neurosurgeon instructs the nurse to drain cerebrospinal fluid. The nurse would also anticipate which medication administration order from the provider?
Correct Answer: A
Rationale: 3% Normal Saline reduces ICP by drawing fluid from brain tissue, addressing Cushing's triad (widened pulse pressure, irregular respirations, bradycardia). Nitroprusside and norepinephrine affect blood pressure, and furosemide is less effective for acute ICP.
Question 3 of 5
The nurse is caring for patient with a history of atrial fibrillation who is prescribed warfarin. Sometimes I forget my medication, so l double up doses when I remember The patient's PT and INR are highly elevated. The nurse anticipates the transfusion of which blood product?
Correct Answer: D
Rationale: Fresh Frozen Plasma replaces clotting factors inhibited by warfarin, reversing elevated PT/INR. PRBCs treat anemia, platelets address thrombocytopenia, and cryoprecipitate provides fibrinogen, none of which are primary concerns here.
Question 4 of 5
A client diagnosed with a stroke complains of a severe headache. Which intervention would be the nursing priority?
Correct Answer: A
Rationale: A severe headache post-stroke may indicate hemorrhage or increased ICP, requiring a STAT CT scan to guide treatment.
Question 5 of 5
A nurse is caring for a client who is to start chemotherapy treatment advanced breast cancer. She tells the nurse she is worried about the adverse effects of the treatment. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Asking about specific concerns encourages the client to express fears, allowing tailored education and support.