ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
While performing a neurologic assessment of the older adult patient, the nurse needs to consider which age-related changes?
Correct Answer: A
Rationale: Slower reaction time is a normal age-related change due to decreased neuronal processing speed.
Question 2 of 5
While performing a neurologic assessment of the older adult patient, the nurse needs to consider which age-related changes?
Correct Answer: A
Rationale: Slower reaction time is a normal age-related change due to decreased neuronal processing speed.
Question 3 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY.)
Correct Answer: A,C,D
Rationale: A: Pulmonary edema increases respiratory rate. C: Heart rate rises to compensate. D: Blood volume increases pressure. B and E are incorrect as temperature is unrelated, and hematocrit decreases.
Question 4 of 5
The nurse is caring for a client who has had a temporary transvenous pacemaker inserted. The cardiac monitor shows pacemaker spikes occurring at various points in the client's own beats such as on the T wave. What action is the nurse's priority?
Correct Answer: D
Rationale: Pacemaker spikes on the T wave indicate a sensing issue, requiring immediate notification of the provider.
Question 5 of 5
A client, who has undergone a transurethral resection of the bladder tumor (TURBT), complains of bladder spasms and has continuous bladder irrigation running. Which nursing action is most appropriate for this problem?
Correct Answer: C
Rationale: Belladonna and opium suppositories relax bladder muscles, effectively relieving spasms post-TURBT.