ATI RN
ATI Med Surg Nurs 228 Exam Questions
Extract:
Question 1 of 5
A nurse in the emergency department is assessing a newly-admitted infant. Which of the following findings is an early indication of hypoxemia?
Correct Answer: B
Rationale: Tachypnea, or rapid breathing, is an early sign of hypoxemia as the body attempts to increase oxygen levels.
Question 2 of 5
A nurse is caring for a child who has Hirschsprung's diseasWhich of the following actions should the nurse take?
Correct Answer: B
Rationale: Surgery is the definitive treatment for Hirschsprung's disease, addressing the absence of nerve cells in the colon.
Question 3 of 5
A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The anterolateral thigh is the recommended site for intramuscular injections in toddlers due to well-developed muscles and minimal risk of injury.
Question 4 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 5 of 5
A nurse is caring for a school-age child who has acute glomerulonephritis. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A blood creatinine level of 1.3 mg/dL is elevated, indicating impaired kidney function, which is a concern in acute glomerulonephritis.