ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 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 2 of 5
A patient is ordered 1 mg/kg of furosemide IV push. The patient weights 121 lbs. The medication is supplied 40 mg/10 mL. How many mL should the nurse administer? (round to the nearest tenth)
Correct Answer: A
Rationale: Convert 121 lbs to 54.88 kg (121 × 0.453592). Dose is 1 mg/kg, so 54.88 mg. Concentration is 4 mg/mL (40 mg/10 mL), so 54.88 ÷ 4 = 13.72 mL, rounded to 13.7 mL.
Question 3 of 5
The client Is in the intensive care unit on a ventilator. Which intervention(s) should the nurse implement? (SELECT ALL THAT APPLY)
Correct Answer: A,B,E
Rationale: Hourly respiratory assessments detect changes early, a manual resuscitation bag is essential for emergencies, and collaboration with respiratory therapists ensures proper ventilator management. Pulse oximetry should be continuous, and nurses typically do not adjust ventilator settings.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of bladder cancer Which of the following interventions should the nurse take to promote comfort?
Correct Answer: A
Rationale: Honest answers reduce anxiety and build trust, promoting comfort in a client with a new cancer diagnosis. Avoiding eye contact, limiting explanations, or choices can increase distress.
Question 5 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.