ATI RN
ATI Med Surg Nursing 300 day Exam Questions
Extract:
Question 1 of 5
Which clinical manifestation would the nurse use to best indicate that the status of an elderly client's chronic heart failure condition is Improving?
Correct Answer: D
Rationale: Being alert and oriented X 3 indicates no signs of confusion or cognitive impairment, which can occur due to decreased cerebral perfusion in worsening heart failure. This suggests improved perfusion and oxygenation.
Question 2 of 5
The nurse teaches a diabetic client how to perform foot care. Which action by the client would indicate that they can correctly perform foot care?
Correct Answer: C
Rationale: Using a mirror to check foot soles promotes early detection of injuries in diabetic clients.
Question 3 of 5
When using an ECG rhythm strip to quickly estimate the ventricular rate for a client, the nurse should:
Correct Answer: C
Rationale: Counting QRS complexes in a 6-second strip and multiplying by 10 is the fastest method to estimate heart rate.
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 4 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 5 of 5
The nurse is caring for a client who is admitted to the telemetry unit with a new onset of the following rhythm. The nurse assesses the rhythm as. The nurse plans to administer.... for the rhythm and intravenous....to prevent blood clots.
Correct Answer: A,B,C
Rationale: Atrial fibrillation requires rate control (amiodarone) and anticoagulation (heparin) to prevent thromboembolism.