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RN ATI Medsurg~410 Exam

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Title : RN ATI Medsurg~410 Exam

Type : Nursing

Category : RN Nursing Exam(s)

Subcategory : ATI Exam(s)

Domain : RN ATI MedSurg

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 100

Exam Year : 2023

Duration : 120 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Medium

Instructions : Read each question carefully and select the correct answer. Ensure you manage your time effectively to complete all questions within the given timeframe, as answers cannot be changed after submission.

Description : This exam evaluates RN students' knowledge of Medical-Surgical nursing principles, including the management of acute and chronic conditions, clinical decision-making, and evidence-based interventions across various body systems.

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1 : A nurse is providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching?

Avoid crowds

Eat plenty of fresh fruits and vegetables

Take temperature weekly

Perform mild exercise, such as gardening

Hint : Infection prevention

Correct Answers:

Avoid crowds

Rationale :

Neutropenia increases infection risk; crowds raise exposure.

Distractor Analysis :

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2 : A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?

Scatter rugs are present in the kitchen,

Handrails are present in the bathroom.

Electrical cords are placed along the walls.

Uses a microwave for cooking.

Hint : Fall risk hazard.

Correct Answers:

Scatter rugs are present in the kitchen,

Rationale :

Scatter rugs are a tripping hazard for visually impaired clients.

Distractor Analysis :

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3 : A nurse is caring for a client with a chronic wound. Which of the following is a potential complication of a chronic wound?

Electrolyte abnormalities

Altered hemoglobin ATC

Psychological distress

Fluid volume overload

Hint : Mental health impact.

Correct Answers:

Psychological distress

Rationale :

Chronic wounds often cause depression/anxiety due to prolonged healing.

Distractor Analysis :

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4 : A nurse is teaching a group of clients about the specific types of fluids that protect the structures of the inner ear. Which of the following statements should the nurse include in the teaching?

Endolymph fluid provides protection to the structures of the inner ear."

Sanguineous fluid provides protection to the structures of the inner ear."

Aqueous humor provides protection to the structures of the inner ear."

Vitreous humor provides protection to the structures of the inner ear.

Hint : Inner ear fluid.

Correct Answers:

Endolymph fluid provides protection to the structures of the inner ear."

Rationale :

Endolymph is the correct fluid in the inner ear.

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5 : A nurse is caring for a client who has developed pulmonary embolism (PE). Which of the following diagnostic tests should the nurse anticipate the provider to prescribe to confirm the client's condition? (Select All that Apply.)

D-dimer blood test

Complete blood count (CBC)

CT scan

Chest x-ray

Lung ventilation and perfusion scan (VQ scan)

Hint : PE diagnostic tests.

Correct Answers:

D-dimer blood test
CT scan
Lung ventilation and perfusion scan (VQ scan)

Rationale :

These tests diagnose PE (D-dimer screens, CT/VQ confirm).

Distractor Analysis :

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6 : A nurse is planning care for a client who is to receive packed RBCs. The nurse should plan for the total infusion time to not exceed which of the following?

4 hr

2 hr

8 hr

6 hr

Hint : Infusion time limit.

Correct Answers:

4 hr

Rationale :

Packed RBCs must infuse within 4 hours to prevent bacterial growth.

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7 : A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?

Packed RBCS

Fresh frozen plasma

Recombinant

Prophylactic antibiotics

Hint : Factor replacement needed.

Correct Answers:

Recombinant

Rationale :

Hemophilia A requires factor VIII replacement for bleeding prevention

Distractor Analysis :

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8 : A nurse is preparing a plan of care for a client who is postoperative following a cochlear implant insertion. Which of the following instructions should the nurse include in the plan of care?

Lie on your back when sleeping.

Wash your hair 24 hr after surgery.

Resume your exercise routine.

Eat foods that are soft

Hint : Post-op diet adjustment.

Correct Answers:

Eat foods that are soft

Rationale :

Soft foods reduce chewing strain post-cochlear implant

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9 : A nurse is admitting a client who has sustained severe burn injuries in a grease fire. The nurse shades in a diagram indicating the burned surface areas. Using the Rule of Nines, the nurse should estimate that the client has burned what percentage of body surface area? (Round the answer to the nearest tenth.). Use a leading zero if it applies. Do not use a trailing zero.)

Hint : Burn surface estimation.

Correct Answers:

40.5

Rationale :

18% (anterior torso) + 4.5% (anterior left arm) + 4.5% (anterior right arm) + 4.5% (posterior right arm) + 9% (posterior upper back) = 40.5%

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10 : A nurse is caring for a client who has a prescription for one unit of packed RBCs. The nurse should plan to remain in the room with the client at which of the following times during the infusion to observe for a transfusion reaction?

The first 2 min

The final 2 min

The final 15 min

The first 15 min

Hint : Early reaction monitoring.

Correct Answers:

The first 15 min

Rationale :

Most reactions occur early; the nurse must monitor closely.

Distractor Analysis :

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