ATI RN
ATI Advanced Med Surg Exam 4 Questions
Question 1 of 5
The following interventions are part of the emergency department (ED) protocol for a patient who has been admitted with multiple bee stings to the hands. Which action should the nurse take first?
Correct Answer: D
Rationale: Administering diphenhydramine first mitigates the risk of anaphylaxis from bee venom.
Question 2 of 5
Which finding indicates that the nurse should discontinue active rewarming of a patient admitted with hypothermia?
Correct Answer: B
Rationale: Active rewarming should stop at 94°F to avoid complications; passive rewarming continues.
Question 3 of 5
A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care?
Correct Answer: C
Rationale: A hissing chest wound indicates a life-threatening tension pneumothorax requiring immediate care.
Question 4 of 5
A nurse is preparing to administer 0.45% sodium chloride (NaCl) 1000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)
Correct Answer: 125
Rationale:
Total volume (1000 mL) divided by infusion time (8 hours) equals 125 mL/hr.
Question 5 of 5
A nurse is teaching a group of clients about tick-borne illnesses. Which of the following information should the nurse include in the teaching regarding ticks?
Correct Answer: C
Rationale: Grasping the tick close to the skin with tweezers minimizes infection risk.