ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
Which initial assessment finding(s) would the nurse expect in a client diagnosed with acute lymphocytic leukemia (ALL)?
Correct Answer: A
Rationale: Thrombocytopenia in ALL leads to petechiae and epistaxis due to low platelet counts, common initial findings at diagnosis.
Question 2 of 5
The nurse is assessing a client experiencing motor loss as the result of a left-sided stroke. Which of the following clinical manifestations related to motor loss would the nurse document?
Correct Answer: D
Rationale: A left-sided stroke causes right-sided motor loss, including paralysis and ataxia, due to contralateral brain control.
Question 3 of 5
The nurse assesses the client's rhythm on the monitor. The patient is unresponsive with no pulse. The nurse identifies the rhythm as. The nurse's priority action is
Correct Answer: A,B
Rationale: Ventricular fibrillation is a chaotic rhythm requiring immediate defibrillation to restore cardiac output.
Question 4 of 5
Which nursing intervention(s) should be employed when caring for the bone marrow donor immediately following a bone marrow aspiration? (SELECT ALL THAT APPLY)
Correct Answer: C,D
Rationale: C: Direct pressure prevents bleeding at the puncture site. D: Vital signs monitoring detects complications early. A, B, and E are inappropriate.
Question 5 of 5
The nurse caring for a client diagnosed with pancreatic cancer understands that the key to effective pain management is:
Correct Answer: A,B,D,E
Rationale: Effective pain management involves appropriate setting-specific options, timely interventions, believing the client's pain reports, and a team approach for comprehensive care.