ATI RN
ATI Nur258 Med Surg 2 Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client in the emergent/resuscitative phase of burn injury. During this phase, the nurse should monitor for evidence of what alteration in laboratory values?
Correct Answer: B
Rationale: Increased hematocrit is common in the emergent/resuscitative phase of burn injury due to fluid shifts and loss of plasma volume, leading to hemoconcentration.
Question 2 of 5
A nurse is caring for a client in septic shock. The client is still hypotensive and lethargic following a 2,500 mL fluid bolus of lactated Ringer (LR) solution. Which of the following interventions does the nurse anticipate next?
Correct Answer: B
Rationale: Norepinephrine IV infusion is the correct choice. It is the first-line vasopressor in septic shock management when a fluid bolus does not adequately raise blood pressure. Norepinephrine works by constricting blood vessels, thereby increasing vascular resistance and blood pressure.
Question 3 of 5
A nurse is assessing a client who has Parkinson disease. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Bradykinesia, or slowness of movement, is a hallmark symptom of Parkinson's disease. It is characterized by a gradual reduction in the speed of voluntary movements and is one of the primary motor symptoms associated with the disease.
Extract:
History and Physical
Day 1
Client works as a firearms instructor at a shooting range.
Hypertension
Heart failure
Osteoarthritis
Medication Administration Record
Day 1:
Gentamycin 500 mg by mouth (PO) daily
Bumetanide 2 mg PO daily
Naproxen 250 mg PO daily
Nurses' Notes
6 months later:
Client reports having trouble hearing in noisy places.
Client states they are hearing sounds as muffled.
Diagnostic Results
6 months later:
Audiometer test with hearing loss at 39 dB
Question 4 of 5
A nurse is reviewing a client's medical record. Select the 4 findings that place the client at risk for hearing impairment.
Correct Answer: B,C,D,E
Rationale: Employment at a shooting range, gentamycin, naproxen, and bumetanide are risk factors for hearing impairment due to noise exposure and ototoxicity.
Extract:
Question 5 of 5
A nurse is the triage officer in the emergency department during a disaster when four clients arrive following a factory explosion. Which of the following clients should the nurse care for first?
Correct Answer: C
Rationale: The unconscious adult client with a sucking chest wound and low SpO2 (85%) is in immediate need of intervention. A sucking chest wound is a life-threatening injury that can lead to respiratory distress and compromised oxygenation. This client requires immediate attention to address the chest wound and improve oxygenation.