ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client in the emergency department who experienced a full-thickness burn injury to the lower torso 1 hr ago. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Full-thickness burns cause fluid loss and hypovolemia, leading to hypotension. Urinary diuresis, decreased respiratory rate, and bradycardia are not typical findings.
Question 2 of 5
A nurse is caring for a client who is 6 hours postoperative following the application of an external fixator for a tibial fracture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Palpating the dorsalis pedis pulse assesses for neurovascular complications, a priority post-fixator application. Wrapping pins, adjusting clamps, or keeping the limb dependent are not standard or safe actions.
Question 3 of 5
A nurse in the emergency department is caring for a client who was involved in an explosion. Which of the following actions should the nurse plan to take first?
Correct Answer: C
Rationale: Notifying the Rapid Response Team is the priority due to the client's unstable vital signs (high BP, HR, RR, low O2 saturation), indicating potential critical condition. ECG, burn assessment, and IV access are secondary.
Question 4 of 5
A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect as an indication the wound is healing?
Correct Answer: A
Rationale: Dark red granulation tissue indicates new connective tissue and blood vessel formation, a sign of wound healing. Light yellow exudate may suggest infection, dry brown eschar is dead tissue that hinders healing, and firm wound tissue is not a specific healing indicator.
Question 5 of 5
A nurse is monitoring a client's heart rhythm following the insertion of a permanent pacemaker. Which of the following images should the nurse expect?
Correct Answer: D
Rationale: A pacemaker produces spikes followed by a QRS complex on an ECG, indicating ventricular contraction. Regular sinus rhythm, chaotic rhythm, or absent electrical activity are not expected.