Questions 168

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ATI RN Test Bank

ATI Med Surg Nursing 300 Day Exam Questions

Extract:


Question 1 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 2 of 5

The nurse notes that the client's rhythm strip indicates a PR-interval of 0.28 seconds. What is the nurse's analysis of this problem?

Correct Answer: D

Rationale: In 1st degree AV block, the PR interval is consistently prolonged, usually more than 0.20 seconds, but it is a constant, non-variable delay in the conduction between the atria and ventricles. A PR interval of 0.28 seconds is characteristic of a first-degree AV block.

Question 3 of 5

The nurse is evaluating the outcomes for a client diagnosed with disseminated intravascular coagulation (DIC). Which laboratory value reflects a positive outcome?

Correct Answer: A

Rationale: A decreased D-dimer level indicates reduced clot formation and breakdown, a positive outcome in DIC.

Question 4 of 5

The nurse is reviewing the diagnostic studies on a client diagnosed with primary brain cancer. Which lab result would the nurse report to the Primary Care Practitioner (PCP) immediately?

Correct Answer: B

Rationale: Sodium 126 mEq/L indicates hyponatremia, which can cause neurological complications in brain cancer patients, requiring immediate reporting.

Question 5 of 5

A 78-year-old client is admitted to the Emergency Department (ED) with numbness and weakness of the right arm and slurred speech. Which nursing intervention is a priority?

Correct Answer: B

Rationale: A STAT CT scan is critical to diagnose the cause of neurological symptoms (e.g., stroke), guiding time-sensitive treatment decisions.

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