ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
Which initial assessment findings would the nurse expect in a client diagnosed with acute lymphocytic leukemia ALL? (SELECT ALL THAT APPLY)
Correct Answer: D,E
Rationale: Petechiae and epistaxis are common due to thrombocytopenia in ALL, causing bleeding tendencies. Ascites, alopecia, and edema are not typical initial findings; alopecia may occur post-chemotherapy.
Question 2 of 5
The nurse is caring for a patient who sustained a spinal cord injury (SCI) at T1. The alarm on the monitor sounds because the patient's blood pressure is 86/50 and the heart rate is 44. The nurse's priority action would be to:
Correct Answer: A
Rationale: Hypotension and bradycardia suggest neurogenic shock in T1 SCI. Assessing neurological status and repeating vital signs confirm the cause, guiding treatment. Other options are premature or inappropriate.
Question 3 of 5
The nurse easily and quickly assesses changes in level of consciousness (eye opening, verbal responses motor response) using which neurological exams?
Correct Answer: A
Rationale: The Glasgow Coma Scale assesses consciousness via eye, verbal, and motor responses, ideal for rapid neurological evaluation.
Question 4 of 5
The nurse is teaching a client with type 2 diabetes mellitus about self-monitoring of blood glucose. Which statement by the client indicates understanding?
Correct Answer: B
Rationale: Using the sides of fingers for blood glucose sampling reduces pain and nerve damage, indicating correct technique.
Question 5 of 5
A nurse is caring for a client who is to start chemotherapy treatment advanced breast cancer. She tells the nurse she is worried about the adverse effects of the treatment. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Asking about specific concerns encourages the client to express fears, allowing tailored education and support.