ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 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 2 of 5
A young adult is brought to the Emergency Department (ED) after a motor vehicle accident (MVA). The patient has severe right chest pain where there was impact with the steering wheel. Which is the priority patient goal?
Correct Answer: D
Rationale: Chest trauma may cause pneumothorax or hemothorax, impairing oxygenation. Maintaining adequate oxygenation is the priority to prevent hypoxia, before addressing anxiety, circulation, or pain.
Question 3 of 5
A patient is to receive a bolus of Heparin 20 units/kg. The patient weighs 132 lbs. The medication is supplied as 25,000 units/250 mL. How many mL will the nurse give? (round to the nearest whole number)
Correct Answer: A
Rationale: Weight: 132 lbs ÷ 2.2 = 59.87 kg. Dose: 20 units/kg × 59.87 = 1197.48 units. Concentration: 100 units/mL (25,000/250). Volume: 1197.48 ÷ 100 = 11.97 mL, rounded to 12 mL.
Question 4 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 5 of 5
A client who is postoperative following a coronary artery bypass graft (CABG) has a blood pressure of 90/50 mmHg, heart rate of 112 beats/min, respiratory rate of 28 breaths/min, and an oxygen saturation of 90% on 2L of oxygen via nasal cannula. Which action should the nurse take first?
Correct Answer: A
Rationale: Low oxygen saturation (90%) indicates hypoxemia, a priority. Increasing oxygen to 4L addresses this immediately, before fluids, notification, or positioning.