ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide the client?
Correct Answer: C
Rationale: Troponin is a heart muscle protein released into the bloodstream during myocardial injury, making it a specific marker for myocardial infarction. It is not a lipid, enzyme, or oxygen transporter.
Question 2 of 5
A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take.
Correct Answer: C,D,E,B,A
Rationale: The ABCDE framework prioritizes airway (jaw-thrust), breathing (ventilatory assessment), circulation (IV access), disability (Glasgow Coma Scale), and exposure (remove clothing).
Question 3 of 5
A nurse is assessing a client who develops respiratory distress, absence of breath sounds on one side, and deviation of the trachea away from the affected side. Based on these manifestations, which of the following conditions is the infant experiencing?
Correct Answer: D
Rationale: Tension pneumothorax causes respiratory distress, absent breath sounds, and tracheal deviation away from the affected side due to air accumulation in the pleural space. Flail chest, contusion, and fractured rib do not cause tracheal deviation.
Question 4 of 5
A nurse is providing care for a client diagnosed with diabetic ketoacidosis (DKA). Which of the following characteristics are associated with DKA?
Correct Answer: C,E,F
Rationale: DKA is characterized by metabolic acidosis, hyperglycemia (>250 mg/dL), and ketosis due to fat breakdown. It causes dehydration, not fluid overload, and is associated with high, not low, blood sugar.
Question 5 of 5
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?
Correct Answer: B
Rationale: DKA causes severe dehydration, and 0.9% sodium chloride IV bolus is the first priority to restore intravascular volume. Oral hypoglycemics, glucocorticoids, and dextrose are not initial treatments.