ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a patient diagnosed with an injury to the cerebellum who cannot complete the Romberg Test. Which nursing intervention is priority?
Correct Answer: A
Rationale: Cerebellar injury impairs balance, increasing fall risk. A bed alarm ensures safety, the priority intervention.
Question 2 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 3 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 4 of 5
The Operating Room (OR) nurse is preparing to give report to the Intensive Care Unit (ICU) nurse on a patient who has had surgery after suffering penetrating chest and abdominal trauma. What should the nurse include in the report? (Select All that Apply.)
Correct Answer: A,B,C,E
Rationale: Injury details, vital signs, procedure, tolerance, intake/output, and medications/IV sites are critical for ICU care. Family presence is secondary.
Question 5 of 5
The nurse is preparing discharge teaching for a client newly diagnosed with cancer who just had a tunneled IV catheter (Hickman) placed. The nurse would include which information in the teaching plan regarding sign and symptoms of infection?
Correct Answer: B
Rationale: Monitoring for redness, swelling, or exudate at the catheter insertion site is critical to detect infection early, a common complication of tunneled IV catheters. Increased urine output is unrelated, hemoglobin monitoring is for general health, and flushing is for patency, not infection.