ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
Which nursing intervention is highest priority for the client who has suffered an acute anterior wall mycordial infarction?
Correct Answer: D
Rationale: Reducing oxygen demand via pain control (e.g., morphine) and oxygen therapy minimizes myocardial ischemia, the priority in acute MI.
Question 2 of 5
The nurse notices a yellow stain around fluid dripping from a patient's ear who sustained a traumatic brain injury. The nurse's priority intervention will be as follows:
Correct Answer: C
Rationale: Yellow-stained fluid suggests cerebrospinal fluid leak, a TBI complication. Allowing drainage prevents pressure buildup, and notifying the provider ensures further evaluation. Pressure dressings or antibiotics are premature, and IV fluids are unrelated.
Question 3 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 4 of 5
The client's arterial blood gases reveal the following results; pH 7.51. PaO2 80 mmHg, PaCO2 28 mmHg, HCO3-24 mEq/L. 02 saturation 92%. The nurse interprets this blood gas result as
Correct Answer: D
Rationale: pH 7.51 and low PaCO2 (28 mmHg) indicate respiratory alkalosis due to hyperventilation, causing excessive CO2 exhalation. Normal HCO3- rules out metabolic causes, and acidosis is incorrect due to high pH.
Question 5 of 5
The nurse is caring for a client with infectious endocarditis. Which information obtained from the health history could have contributed to the development of the disease progress?
Correct Answer: C
Rationale: Intravenous substance use is a major risk factor for infectious endocarditis due to the introduction of bacteria into the bloodstream via non-sterile needles, leading to valve infection.