ATI RN
ATI Nurs 258 Med Surg Exam Questions
Extract:
Question 1 of 5
A client with multiple injuries to the head, chest, and abdomen has had their airway stabilized and is breathing on their own. Which symptom would lead the nurse to suspect internal hemorrhaging even when the nurse does not see any bleeding?
Correct Answer: C
Rationale: Increased abdominal distention can indicate hemoperitoneum, a sign of internal hemorrhaging, as blood accumulates in the abdominal cavity.
Question 2 of 5
A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first?
Correct Answer: B
Rationale: Tension pneumothorax is a life-threatening condition requiring immediate intervention to relieve pressure and restore breathing.
Question 3 of 5
A nurse is assessing a client who is being admitted from the post-anesthesia care unit (PACU) following an abdominal hysterectomy. Which of the following assessments is the nurse's priority?
Correct Answer: B
Rationale: Blood pressure is the priority to monitor for signs of bleeding or shock post-hysterectomy.
Question 4 of 5
A client with multiple injuries to the head, chest, and abdomen has had their airway stabilized and is breathing on their own. Which symptom would lead the nurse to suspect internal hemorrhaging even when the nurse does not see any bleeding?
Correct Answer: C
Rationale: Increased abdominal distention can indicate hemoperitoneum, a sign of internal hemorrhaging, as blood accumulates in the abdominal cavity.
Question 5 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.