ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 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 2 of 5
The nurse assesses the patient with a spinal cord injury at the level C-7 and finds warm, flushed skin with profuse sweating above the level of injury, and pale, cold skin below the level of injury. The patient is bradycardic, but severely hypertensive. What are the priority nursing interventions?
Correct Answer: B
Rationale: Symptoms indicate autonomic dysreflexia, requiring assessment for noxious stimuli (e.g., bladder distension) and anticipation of antihypertensives to manage severe hypertension.
Question 3 of 5
The nurse is caring for patient with a history of atrial fibrillation who is prescribed warfarin. Sometimes I forget my medication, so l double up doses when I remember The patient's PT and INR are highly elevated. The nurse anticipates the transfusion of which blood product?
Correct Answer: D
Rationale: Fresh Frozen Plasma replaces clotting factors inhibited by warfarin, reversing elevated PT/INR. PRBCs treat anemia, platelets address thrombocytopenia, and cryoprecipitate provides fibrinogen, none of which are primary concerns here.
Question 4 of 5
The nurse is caring for a patient in the acute care setting with a spinal cord injury (SCI) at the level of C-3. What is the main cause of complications or death related to this level of injury?
Correct Answer: A
Rationale: A spinal cord injury at C-3 affects the phrenic nerve (C3-C5), which controls the diaphragm, leading to respiratory compromise. This is the primary cause of complications or death due to the risk of respiratory failure, often requiring mechanical ventilation.
Question 5 of 5
The nurse is teaching a client with type 2 diabetes mellitus about self-monitoring of blood glucose. Which statement by the client indicates understanding?
Correct Answer: B
Rationale: Using the sides of fingers for blood glucose sampling reduces pain and nerve damage, indicating correct technique.