ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The Operating Room (OR) nurse is preparing to give report to the Intensive Care Unit (ICU) nurse on a patient who has had surgery after suffering penetrating chest and abdominal trauma. What should the nurse include in the report? (Select All that Apply.)
Correct Answer: A,B,C,E
Rationale: Injury details, vital signs, procedure, tolerance, intake/output, and medications/IV sites are critical for ICU care. Family presence is secondary.
Question 2 of 5
The nurse is caring for client who is four days post-operative open repair of an abdominal aortic aneurysm the abdomen is distended. The client is complaining abdominal pain and the abdomen is distended. What action should the nurse take at this time?
Correct Answer: B
Rationale: Abdominal pain and distension post-AAA repair suggest complications like bleeding or ischemia, requiring immediate provider notification and testing.
Question 3 of 5
The nurse is caring for client who has had a stroke and who received tissue plasminogen activator(t-PA) 6 hours ago. The nurse identifies which of the following symptoms are indications of an intracerebral hemorrhage post thrombolytic therapy?
Correct Answer: B
Rationale: Decline in neurological status and elevated blood pressure indicate intracerebral hemorrhage post-tPA, due to bleeding causing brain compression and compensatory hypertension.
Question 4 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 5 of 5
The nurse is teaching a client about seeking medical attention for suspected melanoma skin cancer lesions. The client would demonstrate to the nurse an understanding of teaching by stating I will seek medical attention if the mole has:
Correct Answer: C
Rationale: Irregular borders are a warning sign of melanoma (ABCDE criteria). Single color, small diameter, and symmetry are typically benign.