ATI RN
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.