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 total parenteral nutrition (TPN). Which assessment finding indicates a complication of TPN therapy?
Correct Answer: A
Rationale: Blood glucose of 180 mg/dL indicates hyperglycemia, a common TPN complication due to high dextrose content, requiring insulin or rate adjustment.
Question 2 of 5
The nurse is caring for a client who has a chest tube in place following a pneumothorax. Which assessment finding indicates that the chest tube is functioning properly?
Correct Answer: B
Rationale: Fluctuation (tidaling) in the water seal chamber with respirations indicates the chest tube is patent and functioning, reflecting pleural pressure changes.
Question 3 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.
Question 4 of 5
The nurse is caring for a client with a history of seizures who is prescribed phenytoin. Which laboratory value should the nurse monitor?
Correct Answer: B
Rationale: Phenytoin can cause hepatotoxicity, so monitoring liver function tests is essential to detect potential liver damage.
Question 5 of 5
The nurse is assessing a client with a suspected pulmonary embolism. Which assessment finding is most indicative of this condition?
Correct Answer: B
Rationale: Pleuritic chest pain, worsened by breathing, is a hallmark of pulmonary embolism due to pleural irritation from emboli.