Questions 168

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ATI Med Surg Nursing 300 day Exam Questions

Extract:


Question 1 of 5

The nurse is caring for a patient whose blood type is A-. The nurse knows that this patient can receive the following blood types:(SELECT ALL THAT APPLY)

Correct Answer: A,C,D

Rationale: A- and O- are compatible with A- blood. AB and O+ are not due to antigen or Rh factor mismatches.

Question 2 of 5

The nurse is performing discharge planning for a client newly diagnosed with type 1 diabetes mellitus. It would be most important for the plan to include:

Correct Answer: C

Rationale: Consistently elevated blood glucose levels above 200 mg/dL indicate poor diabetes control and require prompt reporting to prevent complications like diabetic ketoacidosis.

Question 3 of 5

The nurse is reviewing the laboratory values for the client diagnosed with heart failure and notes the sodium level is 128 mEq/L (normal 135-145mEq/L). How should the nurse interpret this finding?

Correct Answer: B

Rationale: Hyponatremia in heart failure results from fluid retention, diluting sodium levels.

Question 4 of 5

The nurse is assessing a client who had a surgical excision of a basal cell carcinoma one week ago. Assessment findings include redness, warmth, and serosanguinous drainage from the site. What would be the priority action by the nurse?

Correct Answer: A

Rationale: Culturing the wound confirms infection, guiding appropriate treatment for redness, warmth, and drainage.

Question 5 of 5

The nurse is caring for a client receiving a heparin infusion for disseminated intravascular coagulation (DIC). Which of the following lab results would indicate a sub-therapeutic level? An activated partial thromboplastin time (aPTT) of :(normal value: 25-35 seconds)

Correct Answer: D

Rationale: An aPTT of 69 seconds is above normal but likely below the therapeutic range (1.5-2.5 times normal) for heparin in DIC.

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