ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for client who has had a stroke and who received tissue plasminogen activator(t-PA) 6 hours ago. The nurse identifies which of the following symptoms are indications of an intracerebral hemorrhage post thrombolytic therapy?
Correct Answer: B
Rationale: Decline in neurological status and elevated blood pressure indicate intracerebral hemorrhage post-tPA, due to bleeding causing brain compression and compensatory hypertension.
Question 2 of 5
The client diagnosed with Parkinson's Disease (PD) is being admitted with a fever and patchy infiltrates in the lung fields on the chest x-ray. Which clinical manifestations of PD would explain this assessment data?
Correct Answer: D
Rationale: Difficulty swallowing (dysphagia) in PD increases aspiration risk, leading to pneumonia with fever and lung infiltrates. Other PD symptoms like mask-like face, bradykinesia, or tremors do not directly cause pneumonia.
Question 3 of 5
The nurse is evaluating the outcomes for a client diagnosed with disseminated intravascular coagulation (DIC). Which laboratory value reflects a positive outcome?
Correct Answer: D
Rationale: A decreased D-dimer level indicates reduced fibrinolysis and resolution of DIC, a positive outcome. Prolonged PT and decreased platelets are signs of ongoing DIC, and fibrinogen is typically low, not elevated.
Question 4 of 5
The nurse is caring for a patient in the Intensive Care Unit (ICU) with a ventriculostomy and intracranial pressure (ICP) reading of 30mmHg. The nurse notes a widened pulse pressure, irregular respirations. and bradycardia. The neurosurgeon instructs the nurse to drain cerebrospinal fluid. The nurse would also anticipate which medication administration order from the provider?
Correct Answer: A
Rationale: 3% Normal Saline reduces ICP by drawing fluid from brain tissue, addressing Cushing's triad (widened pulse pressure, irregular respirations, bradycardia). Nitroprusside and norepinephrine affect blood pressure, and furosemide is less effective for acute ICP.
Question 5 of 5
The nurse understands the primary assessment for a patient following a major trauma:
Correct Answer: B
Rationale: The ABCDE (Airway, Breathing, Circulation, Disability, Exposure) approach prioritizes life-threatening issues in trauma assessment.