ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
A nurse in the emergency department is caring for a client who has an epidural hematoma following a motor-vehicle crash. Which of the following is an expected finding for this client?
Correct Answer: B
Rationale: Epidural hematomas often present with a lucid interval followed by unconsciousness due to rapid bleeding.
Question 2 of 5
A nurse is reviewing the arterial blood gas results for a client in the ICU who has kidney failure and determines the client has respiratory acidosis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Widened QRS complexes can occur in respiratory acidosis due to hyperkalemia from kidney failure.
Question 3 of 5
A nurse is assessing a client who has a score of 6 on the Glasgow Coma Scale. The nurse should expect which of the following outcomes based on this score?
Correct Answer: B
Rationale: A GCS of 6 indicates severe impairment requiring total care, but not a deep coma (GCS 3).
Question 4 of 5
A nurse in the emergency department is caring for a client who has 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: In head injury, rapid fluid infusion (125 mL/hr) can worsen ICP; slowing to 20 mL/hr is safer.
Question 5 of 5
A nurse is caring for a client who had an evacuation of a subdural hematoma. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Monitoring for increased intracranial pressure is the priority after subdural hematoma evacuation, as it can indicate life-threatening complications like re-bleeding or swelling.