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ATI Med Surg Nursing 300 day Exam Questions

Extract:


Question 1 of 5

Which behavior observed by the nurse causes a suspicion that a depressed client may be suicidal?

Correct Answer: A

Rationale: Giving away possessions is a classic sign of suicidal ideation, indicating preparation for death.

Question 2 of 5

The nurse is caring for a client in the coronary care unit and the monitor depicts the rhythm shown below. What is the nurse's interpretation of this rhythm?

Correct Answer: C

Rationale: Mobitz I (Wenckebach) shows progressively lengthening PR intervals until a QRS is dropped, as depicted.

Extract:

Blood Cell Normal Ranges
Red blood cells (mature, circulating)
• Male 4.51-6.01 million/mm3
• Female: 4.01-5.51 million/mm3
Hemoglobin
• Adult (15-64 yr)
• Male 14-17.3 g/dL
• Female 11.7-15.5 g/dL
Hematocrit
• 42% -52% in males
• 36% -48% in females
Reticulocytes 0.5% -2.5% of total RBC count
White blood cells (total) 4.5-11.1 103/mm3
Neutrophils
• 59%
• Bands 3%
• Segs-56%
Eosinophils 2.7%
Basophils 0.5%
Lymphocytes 34%
Monocytes 4%
Platelets 150,000-450,000/mm3


Question 3 of 5

A client is post-op nephrectomy for renal cancer. Which lab results would cause most concern for the nurse?

Correct Answer: C

Rationale: An elevated WBC count (normal 4.5-11.1 x 10³/mm³) post-nephrectomy suggests possible infection or inflammation, a critical concern requiring further investigation.

Extract:


Question 4 of 5

The physician has just informed a client with advanced heart failure that a left ventricular assist device (LVAD) will be needed. The client is crying and says to the nurse, 'I just know that I am going to die. What's the point of treatment?' The priority nursing action is to:

Correct Answer: C

Rationale: Expressions of hopelessness require assessing for suicidal ideation to ensure patient safety.

Question 5 of 5

A client asks the nurse to explain risk factors for uterine cancer. The nurse explains that the number one risk factor is:

Correct Answer: C

Rationale: Prolonged unopposed estrogen exposure, such as in obesity or hormone therapy, is the primary risk factor for uterine cancer.

Similar Questions

When using an ECG rhythm strip to quickly estimate the ventricular rate for a client, the nurse should:
The nurse determines through neurologic testing that a patient has sensory and motor impairment of bilateral lower extremities. The most important reason to assess for this in the client is to:
The nurse is planning care for a client diagnosed with heart failure who will soon be discharged home. What should be included in the teaching plan? The client will:
The nurse is performing discharge planning for a client newly diagnosed with type 1 diabetes mellitus. It would be most important for the plan to include:
A client was recently diagnosed with lung cancer. The nurse is evaluating discharge teaching with the client. Which statement about lung cancer indicates that teaching was effective?

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