ATI RN
ATI n300 Med Surg Exam Questions
Extract:
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
A client with hypovolemic shock who did not respond to fluid resuscitation is started on norepinephrine. What is the desired outcome?
Correct Answer: C
Rationale: A MAP of at least 65 mmHg ensures adequate perfusion of vital organs, the primary goal of norepinephrine therapy.
Question 3 of 5
The nurse is caring for a client receiving their second unit of Packed Red Blood Cells for an initial hemoglobin. The client appears flushed and complains of itching and urticaria. After following protocol (stopping transfusion, running 0.9% normal saline) and notifying the health care provider, the nurse would prepare to administer:
Correct Answer: C
Rationale: Diphenhydramine is used to treat mild allergic transfusion reactions such as flushing, itching, and urticaria.
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 is caring for a client with a spinal cord injury at C3. The nurse notices on the cardiac monitor a heart rate of 30 beats per minute & upon assessment of the patient, a change in mental status. What medication does the nurse anticipate will be ordered by the physician STAT?
Correct Answer: A
Rationale: Atropine is the first-line treatment for symptomatic bradycardia caused by disrupted sympathetic control in a C3 spinal cord injury.