ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for client who is four days post-operative open repair of an abdominal aortic aneurysm the abdomen is distended. The client is complaining abdominal pain and the abdomen is distended. What action should the nurse take at this time?
Correct Answer: B
Rationale: Abdominal pain and distension post-AAA repair suggest complications like bleeding or ischemia, requiring immediate provider notification and testing.
Question 2 of 5
The nurse is monitoring a patient receiving a blood transfusion. For Which symptoms would the nurse stop the transfusion but NOT administer 0,9% normal saline?
Correct Answer: A
Rationale: Dyspnea, crackles, hypertension, and edema suggest circulatory overload or TRALI, where saline worsens fluid overload, so it's not administered.
Question 3 of 5
The nurse is caring for a client who is postoperative following a mastectomy. The client expresses feelings of loss and decreased self-esteem. Which response by the nurse is most therapeutic?
Correct Answer: A
Rationale: Reflecting the client's feelings validates their emotions, encouraging further expression and therapeutic communication.
Question 4 of 5
Which nursing intervention is highest priority for the client who has suffered an acute anterior wall mycordial infarction?
Correct Answer: D
Rationale: Reducing oxygen demand via pain control (e.g., morphine) and oxygen therapy minimizes myocardial ischemia, the priority in acute MI.
Question 5 of 5
The nurse is caring for a client diagnosed with Myasthenia Gravis (MG) who is post op thymectomy. The client problem is Ineffective Breathing Pattern, Which action would the nurse include in the plan of care?
Correct Answer: A
Rationale: Frequent respiratory assessments detect worsening muscle weakness in MG, critical post-thymectomy to prevent respiratory failure.