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 increased intracranial pressure (ICP) following a closed-head injury. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Log rolling maintains spinal alignment and minimizes ICP increases during repositioning.
Question 2 of 5
A nurse is monitoring the fluid replacement of a client who has sustained burns. The nurse should administer which of the following fluids in the first 24 hr following a burn injury?
Correct Answer: D
Rationale: Lactated Ringer's is preferred for burn resuscitation to replace fluid losses effectively.
Question 3 of 5
A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?
Correct Answer: B
Rationale: A GCS of 13 (3+5+5) indicates the client can follow commands (motor score 5), ruling out unconsciousness.
Question 4 of 5
A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?
Correct Answer: A
Rationale: Dopamine increases systolic BP by improving cardiac output in left ventricular failure.
Question 5 of 5
A nurse is reviewing the PT, aPTT, and INR laboratory values for a client who is experiencing an acute episode of disseminated intravascular coagulation (DIC). Which of the following laboratory results should the nurse expect?
Correct Answer: B
Rationale: In DIC, PT, aPTT, and INR are prolonged due to consumption of clotting factors.