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 acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Severe dyspnea and hypotension (listed twice) are key signs of ARF due to impaired gas exchange.
Question 2 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 3 of 5
A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III?
Correct Answer: D
Rationale: Cranial nerve III (oculomotor) controls pupil constriction, so checking pupillary response to light assesses its function.
Question 4 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 5 of 5
A nurse is caring for a client who has an epidural hematoma. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Epidural hematomas classically present with a lucid period followed by rapid deterioration.