ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The nurse is teaching a client with type 2 diabetes mellitus about self-monitoring of blood glucose. Which statement by the client indicates understanding?
Correct Answer: B
Rationale: Using the sides of fingers for blood glucose sampling reduces pain and nerve damage, indicating correct technique.
Question 2 of 5
A nurse is assessing a client who has mitral valve stenosis Which of the following findings should the nurse except?
Correct Answer: B
Rationale: Mitral valve stenosis causes a diastolic heart murmur due to turbulent blood flow from the left atrium to the ventricle. Clubbing is linked to hypoxia, barrel chest to COPD, and bradycardia is not typical.
Question 3 of 5
The neurologic assessment of a patient indicated impaired function of the glossopharyngeal nerve (CN 10) and the vagus nerve (C.N X). Based on these findings, the nurse plans to:
Correct Answer: B
Rationale: Impaired CN IX and X increase aspiration risk due to swallowing difficulties, so withholding oral intake is priority to prevent pneumonia.
Question 4 of 5
What does the nurse identify as INDIRECT cause of acute respiratory distress syndrome (ARDS) SELECT ALL THAT APPLY
Correct Answer: D,E
Rationale: Sepsis and blood transfusion (via TRALI) indirectly cause ARDS through systemic inflammation or immune response, respectively. Pneumonia, drowning, and aspiration directly damage lung tissue.
Question 5 of 5
The Emergency Department (ED) nurse is assessing an 80-year-old patient who has superficial, partial thickness and deep partial thickness scald burns on bilateral anterior and posterior hands and forearms. The nurse estimates that the total body surface Tire CTBSA) burned is 27%. What should the nurse include in the emergent plan of care?
Correct Answer: A
Rationale: 27% TBSA burns require fluid resuscitation to prevent shock and transfer to a burn center for specialized care.