ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for client who is diagnosed with hypertrophic cardiomyopathy. Which medical Intervention should the nurse anticipate for the complications of dysrhythmias?
Correct Answer: A
Rationale: A cardioverter-defibrillator is used to manage life-threatening ventricular arrhythmias in hypertrophic cardiomyopathy. Nitrates worsen obstruction, transplantation is for end-stage failure, and stents treat coronary artery disease.
Question 2 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 3 of 5
The nurse is performing an assessment of a client admitted with left sided heart failure. Which dinical manifestation(s) would the nurse expect to identify? SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Left-sided heart failure causes pulmonary congestion, leading to tachycardia (compensatory), crackles (fluid in alveoli), and dyspnea (impaired gas exchange). Ascites and peripheral edema are more typical of right-sided failure.
Question 4 of 5
Which initial assessment findings would the nurse expect in a client diagnosed with acute lymphocytic leukemia ALL? (SELECT ALL THAT APPLY)
Correct Answer: D,E
Rationale: Petechiae and epistaxis are common due to thrombocytopenia in ALL, causing bleeding tendencies. Ascites, alopecia, and edema are not typical initial findings; alopecia may occur post-chemotherapy.
Question 5 of 5
The nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). The client's urine in the catheter bag is bright red with clots. Which action should the nurse take first?
Correct Answer: A
Rationale: Bright red urine with clots indicates possible bleeding or clot obstruction. Irrigating the catheter clears clots, maintaining patency and preventing complications.