ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
Which commonly prescribed is does the nurse identify as ototoxic?
Correct Answer: B
Rationale: High doses of aspirin and ibuprofen can cause ototoxicity, leading to tinnitus or hearing loss. Other listed drugs are not typically ototoxic.
Question 2 of 5
The nurse is caring for a patient with an acute head injury. Which assessment finding would first alert the nurse that the patient is developing an increase in intracranial pressure (ICP)?
Correct Answer: C
Rationale: Altered level of consciousness is the earliest sign of increased ICP, reflecting brain compression. Sluggish pupils and widening pulse pressure are later signs, and tachycardia with hypotension is not typical.
Question 3 of 5
The nurse is preparing discharge teaching for a client newly diagnosed with cancer who just had a tunneled IV catheter (Hickman) placed. The nurse would include which information in the teaching plan regarding sign and symptoms of infection?
Correct Answer: B
Rationale: Monitoring for redness, swelling, or exudate at the catheter insertion site is critical to detect infection early, a common complication of tunneled IV catheters. Increased urine output is unrelated, hemoglobin monitoring is for general health, and flushing is for patency, not infection.
Question 4 of 5
The nurse is caring for a patient in the acute care setting with a spinal cord injury (SCI) at the level of C-3. What is the main cause of complications or death related to this level of injury?
Correct Answer: A
Rationale: A spinal cord injury at C-3 affects the phrenic nerve (C3-C5), which controls the diaphragm, leading to respiratory compromise. This is the primary cause of complications or death due to the risk of respiratory failure, often requiring mechanical ventilation.
Question 5 of 5
What does the nurse identify as INDIRECT cause of acute respiratory distress syndrome (ARDS) SELECT ALL THAT APPLY
Correct Answer: D,E
Rationale: Sepsis and blood transfusion (via TRALI) indirectly cause ARDS through systemic inflammation or immune response, respectively. Pneumonia, drowning, and aspiration directly damage lung tissue.