ATI RN
ATI Med Surg 2 Questions
Question 1 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: D
Rationale: This is correct because this client has a life-threatening condition called tension pneumothorax, which requires immediate care. The hissing sound indicates air escaping from the lung, necessitating urgent intervention.
Question 2 of 5
A nurse is providing discharge teaching to a client who has a new arteriovenous fistula in the right forearm. Which of the following manifestations should the nurse include in the teaching as a possible indication of venous insufficiency?
Correct Answer: A
Rationale: Cold and numb sensation distal to the fistula site indicates venous insufficiency due to reduced venous return.
Question 3 of 5
A nurse is performing a neurological assessment for a client who has head trauma. Which of the following assessments will give the nurse information about the function of cranial nerve III?
Correct Answer: B
Rationale: Instructing the client to look up and down assesses cranial nerve III (oculomotor), which controls eye movements.
Question 4 of 5
A nurse is planning a staff education session regarding biological weapons of mass destruction. Which of the following should he plan to include in the session?
Correct Answer: A,C,D
Rationale: Correct choices include smallpox, botulism, and anthrax, which are biological agents. Hydrogen cyanide and sarin are chemical weapons.
Question 5 of 5
A nurse in the emergency department is caring for a client who sustained a head injury. The nurse notes the client's IV fluids are infusing at 125 mL/hr. Which of the following is an appropriate action by the nurse?
Correct Answer: C
Rationale: Continuing at 125 mL/hr maintains hydration without risking fluid overload or increased intracranial pressure.