ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is receiving a continuous heparin infusion for a deep vein thrombosis (DVT). The client's activated partial thromboplastin time (aPTT) is 120 seconds (therapeutic range 60-80 seconds). Which action should the nurse take?
Correct Answer: C
Rationale: An aPTT of 120 seconds indicates excessive anticoagulation, increasing bleeding risk. Stopping the infusion and notifying the provider are priority to prevent hemorrhage.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of bladder cancer Which of the following interventions should the nurse take to promote comfort?
Correct Answer: A
Rationale: Honest answers reduce anxiety and build trust, promoting comfort in a client with a new cancer diagnosis. Avoiding eye contact, limiting explanations, or choices can increase distress.
Question 3 of 5
The nurse is caring for a client who has a nasogastric (NG) tube in place. Which action should the nurse take to verify tube placement?
Correct Answer: B
Rationale: Checking the pH of gastric aspirate (pH < 5) confirms NG tube placement in the stomach, a non-invasive and reliable method.
Question 4 of 5
The nurse is assessing a client who is postoperative following a cholecystectomy. The client reports right shoulder pain. Which action should the nurse take first?
Correct Answer: D
Rationale: Right shoulder pain post-cholecystectomy is likely referred pain from diaphragmatic irritation (phrenic nerve). Notifying the provider ensures evaluation for complications like bile leak.
Question 5 of 5
The nurse is caring for a client who is postoperative following a total hip arthroplasty. Which intervention should the nurse include to prevent dislocation of the prosthesis?
Correct Answer: B
Rationale: A pillow between the legs maintains abduction, preventing adduction and dislocation of the hip prosthesis.