ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The nurse is reviewing the diagnostic studies on a client diagnosed with primary brain cancer. Which lab result would the nurse report to the Primary Care Practitioner (PCP) immediately?
Correct Answer: B
Rationale: Sodium 126 mEq/L indicates hyponatremia, which can cause neurological complications in brain cancer patients, requiring immediate reporting.
Question 2 of 5
Which assessment data would indicate to the nurse that the client would be at risk for a hemorrhagic stroke?
Correct Answer: B
Rationale: Severe hypertension (222/112 mmHg) is a major risk factor for hemorrhagic stroke due to vessel damage and potential rupture.
Question 3 of 5
The nurse is caring for a client who has a continuous bladder irrigation (CBI) infusing. At the end of the shift, the nurse calculates the urine output. The client received a total of 2700 mL of the irrigation and emptied a total of 3375 ml from the urine catheter. What should the nurse record as the client's true urine output?
Correct Answer: B
Rationale: True urine output = 3375 mL (total) ˆ’ 2700 mL (irrigation) = 675 mL.
Question 4 of 5
The nurse prepares to assess the patient's cranial nerves. Which tool is necessary to assess cranial nerve (CN) III (oculomotor)?
Correct Answer: B
Rationale: A penlight is used to assess CN III (oculomotor) by evaluating the pupil's response to light and the ability to move the eye, as this nerve controls pupil constriction and most eye movements.
Question 5 of 5
The husband of a client with cervical carcinoma in situ says to the nurse, 'The doctor just told my wife that her cancer is curable. Is the doctor just trying to make us feel better?' The nurse's most accurate response would be:
Correct Answer: C
Rationale: Cervical carcinoma in situ, when detected early, has a high cure rate with aggressive treatment, accurately addressing the husband's concern.