ATI RN
ATI Med Surg Nursing 300 day Exam Questions
Extract:
Question 1 of 5
The nurse is providing discharge instructions to a client who has had a permanent pacemaker inserted. The information in the chart indicates that the device is a DDD. What will the nurse explain about this pacemaker?
Correct Answer: B
Rationale: A DDD pacemaker has wires in the right atrium and right ventricle to monitor and pace both chambers when needed, ensuring coordinated atrial and ventricular activity.
Question 2 of 5
The nurse is caring for a client who was diagnosed with Acute Myelogenous Leukemia (AML). The client is in need of a bone marrow transplant. Match the type of bone marrow transplant to the appropriate donor:
| Options | Allogeneic | Autologous | Syngeneic |
|---|---|---|---|
| A. Twin Donor - Syngeneic | |||
| B. Sibling Donor - Allogeneic | |||
| C. Self-Donor - Autologous | |||
| D. Matched Donor - Allogeneic |
Correct Answer: A,B,C,D
Rationale: A: Identical twin for syngeneic. B, D: Sibling or matched donor for allogeneic. C: Self-donor for autologous.
Question 3 of 5
The nurse is giving discharge instructions to a client newly diagnosed with lung cancer. The nurse understands the client requires additional discharge teaching when the client states:
Correct Answer: C
Rationale: Allowing smoking in the house exposes the client to secondhand smoke, which can worsen lung cancer and hinder recovery.
Question 4 of 5
A client, who has undergone a transurethral resection of the bladder tumor (TURBT), complains of bladder spasms and has continuous bladder irrigation running. Which nursing action is most appropriate for this problem?
Correct Answer: C
Rationale: Belladonna and opium suppositories relax bladder muscles, effectively relieving spasms post-TURBT.
Question 5 of 5
A client presents to the Emergency Department (ED) complaining of a 'racing' heart and nervousness. The client also admits to a history of cocaine abuse. The cardiac monitor displays the rhythm below. Which nursing intervention should the nurse perform?
Correct Answer: D
Rationale: Initial assessment of vital signs and stability is critical before interventions, especially with cocaine-related tachycardia.