ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns?
Correct Answer: D
Rationale: The location of the burn is the priority because burns to the face and neck can compromise the airway, making it the most immediate threat to life.
Question 2 of 5
A nurse is caring for a client who has a disposable three-chamber chest tube in place. Which of the following findings should indicate to the nurse that the client is experiencing a complication?
Correct Answer: A
Rationale: Continuous bubbling in the water-seal chamber indicates an air leak, a potential complication.
Question 3 of 5
A nurse is caring for a client who has a traumatic brain injury. The nurse notes that the client has a widening pulse pressure. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Widening pulse pressure suggests increased ICP; elevating the head to 30° reduces it.
Question 4 of 5
A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face Hokkaido, and both forearms. Which of the following is the priority action the nurse should take?
Correct Answer: D
Rationale: Face burns raise concern for inhalation injury; inspecting the mouth assesses airway risk.
Question 5 of 5
A nurse is caring for a client who is experiencing Cushing's triad following a subdural hematoma. Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: Mannitol 25% is administered to reduce intracranial pressure, a key component of Cushing's triad (hypertension, bradycardia, irregular respirations).