ATI RN
ATI Nurs 258 Med Surg Exam Questions
Question 1 of 5
A nurse in an emergency department is caring for a client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Gathering a sensitive history ensures appropriate care and evidence collection without causing further distress.
Question 2 of 5
A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Checking for kinks in the tubing is the first step to ensure proper catheter function.
Question 3 of 5
A nurse is performing triage on the incident scene for several clients following a mass casualty event. The nurse should assign a red tag to which of the following clients?
Correct Answer: D
Rationale: An open traumatic brain injury with agonal breaths requires immediate life-saving intervention, warranting a red tag.
Question 4 of 5
A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours. The client weighs 198 lbs. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 675
Rationale: The client's weight is converted to 90 kg (198 lb ÷ 2.2). The total daily dose is 15 mg/kg/day × 90 kg = 1350 mg/day, divided into two doses: 1350 mg ÷ 2 = 675 mg/dose.
Question 5 of 5
A nurse is caring for a client who has been suspected of recent exposure to anthrax by inhalation. Which of the following findings would indicate the client has been exposed?
Correct Answer: A
Rationale: Flu-like symptoms are the initial presentation of inhalation anthrax, including fever, cough, and malaise, which can progress to severe respiratory distress.