ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 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 2 of 5
The nurse is caring for a patient with wheezes, shortness of breath, urticaria and itching after receiving a new antibiotic The nurse understands that the epilepsy in this situation would be administered intramuscularly (IM), rather than intravenously (IV) because:
Correct Answer: B
Rationale: IM epinephrine is preferred in anaphylaxis to avoid rapid systemic effects of IV administration, which is reserved for cardiac arrest or severe shock.
Question 3 of 5
A nurse is assessing a client who has mitral valve stenosis Which of the following findings should the nurse except?
Correct Answer: B
Rationale: Mitral valve stenosis causes a diastolic heart murmur due to turbulent blood flow from the left atrium to the ventricle. Clubbing is linked to hypoxia, barrel chest to COPD, and bradycardia is not typical.
Question 4 of 5
The nurse identifies that which patient with a burn injury most likely require endotracheal intubation or tracheostomy tube? The patient with:
Correct Answer: D
Rationale: Thermal burns to the head, neck, face, and airway risk airway edema, necessitating intubation or tracheostomy to secure the airway.
Question 5 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.