ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
Which assessment data would indicate to the nurse that the client would be at risk for a hemorrhagic stroke?
Correct Answer: B
Rationale: Severe hypertension (222/112 mmHg) is a major risk factor for hemorrhagic stroke due to vessel damage and potential rupture.
Question 2 of 5
A client admitted to the Emergency Department (ED) and the cardiac monitor shows multifocal premature ventricular contractions (PVC's). Initial laboratory findings are as follows. The nurse recognizes that the client's PVC's are most likely caused by:
Correct Answer: C
Rationale: Hypokalemia (2.8 mEq/L) is a known cause of PVCs due to its effect on cardiac repolarization.
Question 3 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 4 of 5
A client diagnosed with acute myelogenous leukemia (AML) develops a platelet count of 10,000 mm3 during chemotherapy treatment. What is an appropriate nursing intervention for this client, based on this finding?
Correct Answer: C
Rationale: Low platelets increase infection risk; monitoring temperature detects febrile neutropenia early for timely intervention.
Question 5 of 5
The nurse is caring for a patient who is about to have a lumbar puncture to obtain cerebrospinal fluid for lab analysis. The patient is anxious about damage to the spinal cord. What is the best response by the nurse?
Correct Answer: C
Rationale: Explaining the needle placement below the spinal cord addresses the patient's fear of damage.