ATI RN
ATI Med Surg Nursing 300 day Exam Questions
Extract:
Question 1 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: A
Rationale: A decreased D-dimer level indicates reduced clot formation and breakdown, a positive outcome in DIC.
Extract:
Blood Cell Normal Ranges
Red blood cells (mature, circulating)
• Male 4.51-6.01 million/mm3
• Female: 4.01-5.51 million/mm3
Hemoglobin
• Adult (15-64 yr)
• Male 14-17.3 g/dL
• Female 11.7-15.5 g/dL
Hematocrit
• 42% -52% in males
• 36% -48% in females
Reticulocytes 0.5% -2.5% of total RBC count
White blood cells (total) 4.5-11.1 103/mm3
Neutrophils
• 59%
• Bands 3%
• Segs-56%
Eosinophils 2.7%
Basophils 0.5%
Lymphocytes 34%
Monocytes 4%
Platelets 150,000-450,000/mm3
Question 2 of 5
A client is post-op nephrectomy for renal cancer. Which lab results would cause most concern for the nurse?
Correct Answer: C
Rationale: An elevated WBC count (normal 4.5-11.1 x 10³/mm³) post-nephrectomy suggests possible infection or inflammation, a critical concern requiring further investigation.
Extract:
Question 3 of 5
Which intervention is most important for the nurse to implement to prevent complications from tumor lysis syndrome during chemotherapy?
Correct Answer: C
Rationale: High fluid intake (3000-5000 mL/day) dilutes electrolytes, reducing tumor lysis syndrome complications.
Question 4 of 5
The nurse is developing a discharge plan about home care for a client diagnosed with multiple myeloma. The nurse should emphasize which of the following? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D,E
Rationale: A: Fluid intake prevents dehydration and kidney issues. C: Fragrance-free soap reduces skin irritation risk. D: Analgesics manage bone pain. E: Grab bars prevent falls due to weakened bones. B is incorrect as aspirin increases bleeding risk.
Question 5 of 5
The nurse receives report at 0700 on a client who has 500 mL of IV fluid left in the bag. The IV is running at 125 mL per hour. At what time should the nurse expect to change the bag (military time)?
Correct Answer: C
Rationale: 500 mL ÷ 125 mL/hour = 4 hours; 0700 + 4 hours = 1100, the time to change the IV bag.