ATI RN
ATI Med Surg Nurs 228 Exam Questions
Extract:
Question 1 of 5
A client has just been admitted with a 60% total body surface area (TBSA) burn injury. The nurse notes absent bowel sounds in all quadrants. To maintain adequate nutrition, which action should the nurse plan to take?
Correct Answer: B
Rationale:
Total parenteral nutrition (TPN) is necessary when bowel sounds are absent, providing complete nutrition intravenously.
Question 2 of 5
A nurse is caring for a preschooler who has nephrotic syndromWhich of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A low blood protein level of 5.0 g/dL is indicative of nephrotic syndrome and requires reporting due to potential complications.
Question 3 of 5
A nurse is completing a pain assessment on an infant. Which of the following pain scales should the nurse use?
Correct Answer: C
Rationale: The FLACC scale is appropriate for infants, assessing pain based on facial expression, leg movement, activity, cry, and consolability.
Question 4 of 5
A nurse is teaching a group of caregivers about separation anxiety. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Separation anxiety can be observed in school-age children, especially if it develops into a disorder, though it is more common in younger children.
Question 5 of 5
A nurse is caring for a child who is receiving oxygen. Which of the following findings indicates oxygen toxicity?
Correct Answer: D
Rationale: Unconsciousness is a severe sign of oxygen toxicity, indicating high oxygen levels affecting brain function.