ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The nurse receives report at 0700 on a client who has 500 mL of IV fluid left in the bag. The IV is running at 125 mL per hour. At what time should the nurse expect to change the bag (military time)?
Correct Answer: C
Rationale: 500 mL ÷ 125 mL/hour = 4 hours; 0700 + 4 hours = 1100, the time to change the IV bag.
Question 2 of 5
A client was recently diagnosed with advanced Hodgkin's Lymphoma. Which sign or symptoms indicates that the lymphoma involves the presence of a mediastinal mass?
Correct Answer: A
Rationale: A mediastinal mass can compress airways or vessels, causing shortness of breath, especially when supine, a specific indicator of mediastinal involvement.
Question 3 of 5
The nurse is caring for a client diagnosed with leukemia who has just completed a course of radiation therapy and chemotherapy in preparation for a bone marrow transplant. The nurse notices that the client is febrile, has foul smelling urine, and is complaining of urinary frequency and dysuria. What is the priority nursing action?
Correct Answer: B
Rationale: Obtaining vital signs and a urine specimen is the priority to assess for infection (e.g., UTI) and guide treatment in an immunocompromised client.
Question 4 of 5
The nurse is caring for a male patient who complains about a small 'lump' that he discovered in his right testicle. What would be the best response by the nurse?
Correct Answer: A
Rationale: Asking about pain helps differentiate potential causes (e.g., testicular cancer, epididymitis), guiding further assessment of the testicular lump.
Question 5 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.