ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a traumatic head injury and is exhibiting signs of increasing intracranial pressure. Which of the following medications should the nurse plan to administer?
Correct Answer: D
Rationale: Mannitol 25% is an osmotic diuretic used to reduce intracranial pressure by drawing fluid out of the brain tissue.
Question 2 of 5
A nurse is preparing to administer blood to a client. The unit of blood on hand is type B, and the client has type AB blood. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Type AB clients can safely receive type B blood because AB has no antibodies against B antigens, making administration appropriate.
Question 3 of 5
A nurse in the emergency department is caring for a client who was injured in a motor-vehicle crash. The client reports dyspnea and severe pain. The nurse notes that the client's chest moves inward during inspiration and bulges out during expiration. The nurse should identify this finding as which of the following?
Correct Answer: C
Rationale: Paradoxical chest movement (inward on inspiration, outward on expiration) is characteristic of flail chest.
Question 4 of 5
A nurse is prioritizing client care after receiving change-of-shift report. Which of the following clients should the nurse plan to see first?
Correct Answer: A
Rationale: Shortness of breath is a potential airway or breathing issue, making it the highest priority per ABCs.
Question 5 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.