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 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.
Question 2 of 5
A nurse is assessing a client who has a score of 6 on the Glasgow Coma Scale. The nurse should expect which of the following outcomes based on this score?
Correct Answer: B
Rationale: A GCS of 6 indicates severe impairment requiring total care, but not a deep coma (GCS 3).
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 in an emergency department is reviewing the medical record of a client who has an extensive burn injury. Which of the following laboratory results should the nurse expect?
Correct Answer: C
Rationale: Extensive burns cause hemolysis and fluid shifts, leading to low hemoglobin.
Question 5 of 5
A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?
Correct Answer: C
Rationale: Oliguria is expected in hypovolemic shock due to decreased renal perfusion.