ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with infectious endocarditis. Which information obtained from the health history could have contributed to the development of the disease progress?
Correct Answer: C
Rationale: Intravenous substance use is a major risk factor for infectious endocarditis due to the introduction of bacteria into the bloodstream via non-sterile needles, leading to valve infection.
Question 2 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 3 of 5
A nurse is caring for a client who has suspected hemorrhagic stroke from a ruptured cerebral aneurysm. Which of the following manifestations would the nurse expect?
Correct Answer: D
Rationale: A sudden, severe headache ('worst headache of my life') is classic for a ruptured cerebral aneurysm, causing hemorrhagic stroke.
Question 4 of 5
The nurse easily and quickly assesses changes in level of consciousness (eye opening, verbal responses motor response) using which neurological exams?
Correct Answer: A
Rationale: The Glasgow Coma Scale assesses consciousness via eye, verbal, and motor responses, ideal for rapid neurological evaluation.
Question 5 of 5
A patient presents to the Emergency Department (ED) reporting right facial weakness. The nurse understands that a patient suffering from Bell's Palsy will exhibit which assessment findings related to the cranial nerve involvement?
Correct Answer: C
Rationale: Bell's Palsy causes unilateral facial weakness, including the forehead, due to facial nerve (CN VII) dysfunction, distinguishing it from stroke.