ATI RN
ATI Med Surg Nursing 300 day Exam Questions
Extract:
Question 1 of 5
Which intervention(s) should the nurse include in the post-operative care of a client following a permanent pacemaker insertion? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: A: Prevents infection. B: Limits movement to protect leads. D: Detects complications. C and E are incorrect as leads are not removed, and vigorous activity is avoided.
Question 2 of 5
The client has been diagnosed with a frontal lobe brain tumor and has undergone a craniotomy. What position should the nurse place the client post-operatively?
Correct Answer: D
Rationale: Semi-Fowler's position reduces intracranial pressure and promotes venous drainage post-craniotomy.
Question 3 of 5
The nurse observes the rhythm below for a client on the telemetry unit. Which laboratory value result would the nurse suspect contributed to the development of this dysrhythmia?
Correct Answer: B
Rationale: Hypermagnesemia (2.5 mg/dL) can contribute to torsades de pointes by affecting cardiac electrical stability.
Question 4 of 5
The nurse is caring for a 27-year-old female client diagnosed with acute lymphoblastic leukemia (ALL). She and her husband are concerned about the ability to eventually have children. What should the nurse include in the discussion with this client and her husband?
Correct Answer: A
Rationale: Egg donation preserves fertility by collecting eggs before treatment, allowing future biological children despite chemotherapy risks.
Question 5 of 5
The nurse is caring for a client who has had a stroke and who has received tissue plasminogen activator (t-PA) on admission. The family member requests to bring in a razor for the client to use. Which response from the family would indicate an understanding teaching related to t-PA? The family member states, 'I will
Correct Answer: C
Rationale: An electric razor minimizes the risk of cuts and bleeding, which is crucial for a patient on t-PA due to its thrombolytic effects increasing bleeding risk.