ATI RN
ATI Med Surg Nursing 300 day Exam Questions
Extract:
Question 1 of 5
Upon assessment of the client's lungs, the nurse hears continuous, high-pitched, musical sounds. This should be documented as:
Correct Answer: B
Rationale: Wheezes are high-pitched, musical sounds due to narrowed airways, unlike crackles, rhonchi, or vesicular sounds.
Question 2 of 5
A jaundiced client has just been diagnosed with stage IV pancreatic cancer. The nurse anticipates the client will display which clinical manifestation?
Correct Answer: A
Rationale: Stage IV pancreatic cancer often causes bile duct obstruction, leading to decreased bile flow and clay-colored stools due to the absence of bile pigments.
Question 3 of 5
Which physical assessment findings would the nurse anticipate for a client with rapid atrial flutter?
Correct Answer: C
Rationale: Atrial flutter causes rapid atrial rates, leading to palpitations and shortness of breath due to inefficient cardiac output.
Question 4 of 5
A physician prescribes Vancomycin 20 mg/kg IV. The client weighs 110 lbs. The medication is available in vials which contain 500 mg per 8 mL. What should the nurse withdraw from the vial?
Correct Answer: 16 mL
Rationale: Convert weight (110 lbs / 2.2 = 50 kg), calculate dose (20 mg/kg * 50 kg = 1000 mg), then determine volume (1000 mg * 8 mL / 500 mg = 16 mL).
Question 5 of 5
The nurse is caring for a client diagnosed with bladder cancer who is prescribed intravesical immunotherapy. What information should the nurse include in the teaching plan?
Correct Answer: C
Rationale: Urinating in a sitting position ensures complete bladder emptying and minimizes contact with residual medication post-immunotherapy.