ATI RN
ATI Nurs 258 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 110/60 mm Hg, a pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Administering oxygen addresses hypoxia and respiratory distress in a sucking chest wound.
Question 2 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 3 of 5
A nurse in the emergency department is triaging clients following a mass casualty event. The nurse should identify which of the following clients as emergent?
Correct Answer: D
Rationale: A punctured femoral artery causes severe hemorrhage, requiring immediate intervention.
Question 4 of 5
A nurse is working with an emergency response team in caring for a group of people who may have been exposed to anthrax while doing farm work. Which of the following is the most appropriate action for the nurse to take?
Correct Answer: B
Rationale: Antibiotic therapy is crucial for post-exposure prophylaxis to prevent the development of anthrax after exposure to spores.
Question 5 of 5
A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administerzion following exposure?
Correct Answer: C
Rationale: Smallpox vaccine can be administered post-exposure as prophylaxis to prevent disease development.