ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 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 2 of 5
The nurse is viewing orders for a client with a suspected diagnosis of disseminated intravascular coagulation (DIC). The nurse recognizes that which laboratory test order set will most effectively guide the provider to a diagnosis of DIC?
Correct Answer: A
Rationale: D-dimer, fibrinogen, and fibrin degradation products reflect the clotting and fibrinolysis characteristic of DIC.
Question 3 of 5
The nurse is caring for a client who presents with a chemical burn to the right hand, what should the nurse do first?
Correct Answer: D
Rationale: Immediate irrigation with room temperature water removes the chemical and dilutes its effect, the first critical step.
Question 4 of 5
The nurse is preparing to start a transfusion of packed red blood cells. Which IV site should the nurse use?
Correct Answer: B
Rationale: A 20-gauge catheter with normal saline is suitable for PRBC transfusion due to compatibility and adequate size.
Question 5 of 5
The nurse caring for a client with severe sepsis suspects the client may be developing disseminated intravascular coagulation (DIC). Which of the following signs and symptoms would support the diagnosis of DIC?
Correct Answer: C
Rationale: Oozing blood from IV sites is a classic sign of DIC due to excessive clotting followed by bleeding.