ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority finding to report to the provider?
Correct Answer: C
Rationale: Difficulty swallowing may indicate airway edema, a life-threatening emergency requiring immediate attention. Low urinary output, pain, and tachycardia are important but secondary to airway concerns.
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 sexual assault nurse examiner (SANE) is a caring for a client who experienced sexual assault. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The SANE's priority is to ensure the client's safety and well-being. Legal testimony, police involvement, and evidence collection are secondary or not the nurse's role.
Question 4 of 5
A nurse is caring for a client who has severe burns. Which of the following actions should the nurse take when caring for a client with severe burns?
Correct Answer: B,D
Rationale: Severe burns require pain management with opioid analgesics due to excruciating pain and benzodiazepines to manage anxiety. Cooling with ice water can cause vasoconstriction and worsen tissue damage; tepid water is preferred. Systemic antibiotics are not routine unless infection is present. Laying the bed flat is inappropriate as raising the head helps maintain airway patency.
Question 5 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.