ATI RN
ATI Med Surg Nursing 300 day Exam Questions
Extract:
Question 1 of 5
The nurse notes that the client's rhythm strip indicates a PR-interval of 0.28 seconds. What is the nurse's analysis of this problem?
Correct Answer: D
Rationale: In 1st degree AV block, the PR interval is consistently prolonged, usually more than 0.20 seconds, but it is a constant, non-variable delay in the conduction between the atria and ventricles. A PR interval of 0.28 seconds is characteristic of a first-degree AV block.
Question 2 of 5
The nurse is caring for a client who will undergo a cerebral biopsy for a brain tumor. The client's pre-operative teaching should include:
Correct Answer: A
Rationale: Continuing antiepileptic drugs prevents seizure activity, a common risk with brain tumors and surgery.
Question 3 of 5
The nurse is performing the initial assessment of a client diagnosed with heart failure. Which question should the nurse ask to best assess the client's respiratory status?
Correct Answer: A
Rationale: Asking about the number of pillows assesses orthopnea, a key respiratory symptom in heart failure.
Question 4 of 5
Which statement, made by a client being discharged to home after a radical cystectomy, indicates a need for further clarification by the nurse? 'I will:
Correct Answer: B
Rationale: After a radical cystectomy, normal voiding is not possible due to bladder removal; clients typically have a urinary diversion, indicating a need for clarification.
Question 5 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.