ATI RN
ATI Med Surg 2 Questions
Extract:
Question 1 of 5
A nurse in the emergency department is caring for a client who sustained a head injury. The nurse notes the client's IV fluids are infusing at 125 mL/hr. Which of the following is an appropriate action by the nurse?
Correct Answer: C
Rationale: Continuing at 125 mL/hr maintains hydration without risking fluid overload or increased intracranial pressure.
Question 2 of 5
A nurse is caring for a client who is in the compensatory stage of shock. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Blood pressure 115/68 mm Hg is correct because it falls within the normal range, which the body maintains during the compensatory stage of shock.
Question 3 of 5
A nurse is caring for a client who has acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition?
Correct Answer: B,C,D,E
Rationale: Severe dyspnea, headache, decreased consciousness, and hypotension are manifestations of ARF due to hypoxemia or hypercapnia.
Question 4 of 5
A nurse is performing cardiopulmonary resuscitation (CPR) for an adult client who is unresponsive. The nurse should evaluate the client's circulation by palpating which of the following pulses?
Correct Answer: A
Rationale: This is correct because the carotid pulse is the most accessible and reliable pulse to check during CPR for an adult client.
Question 5 of 5
A nurse is planning a staff education session regarding biological weapons of mass destruction. Which of the following should he plan to include in the session?
Correct Answer: A,C,D
Rationale: Correct choices include smallpox, botulism, and anthrax, which are biological agents. Hydrogen cyanide and sarin are chemical weapons.