ATI RN
ATI n300 Med Surg Exam Questions
Question 1 of 5
A client who has sustained blunt abdominal trauma is admitted to the ICU. Upon assessment the nurse notices the following vital signs: T-99F; HR- 148: RR-38; B/P-60/40. The client is diaphoretic and restless. The following selections are approved by the ICU physician. What would be the PRIORITY nurse's action?
Correct Answer: D
Rationale: The client is in hypovolemic shock due to suspected internal bleeding. Lowering the head of the bed improves cerebral perfusion, increasing IV fluids restores intravascular volume, and checking pulse oximetry ensures adequate oxygenation. This is the priority action to stabilize the client.
Question 2 of 5
Which of the following would the nurse understand is correct when implementing a primary assessment for clients suffering major trauma? The primary assessment:
Correct Answer: D
Rationale: The primary assessment is focused on identifying life-threatening problems using the ABCDs (Airway, Breathing, Circulation, Disability).
Question 3 of 5
The nurse is caring for a client who has suffered a gunshot wound to the anterior chest. The client has been intubated and is currently being ventilated with a bag-valve device. What is the priority intervention for this client now?
Correct Answer: B
Rationale: Obtaining IV access with two large bore lines is critical for fluid resuscitation and medication administration, which are immediate priorities after securing the airway in a chest trauma case.
Question 4 of 5
A client receiving treatment for severe burns over more than half of his body has an indwelling urinary catheter inserted. When evaluating the client's intake and output, which of the following should be taken into consideration? The amount of urine:
Correct Answer: B
Rationale: In the first 24-48 hours following a severe burn injury, the body may undergo a state of hypovolemia and oliguria. As fluid resuscitation begins, urine output typically increases.
Question 5 of 5
Which of the following measures would the nurse emphasize to assist the client diagnosed with trigeminal neuralgia in managing their pain?
Correct Answer: D
Rationale: Clients with trigeminal neuralgia may experience severe pain on one side of the face, especially when chewing. Chewing on the unaffected side reduces pain by avoiding stimulation of the affected nerve.