ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client10 client who is experiencing hypovolemic shock. Which of the following blood products should the nurse anticipate administering to this client?
Correct Answer: A
Rationale: Packed RBCs are used to restore blood volume and oxygen-carrying capacity in hypovolemic shock.
Question 2 of 5
A nurse in an emergency department is caring for an adult client who has burns on the front and back of both his legs and arms. Using the rule of nines, the nurse should document burns to which percentage of the client's total body surface area (TBSA)?
Correct Answer: A
Rationale: Rule of nines: each arm (18%) + each leg (18%) = 9% × 4 (front and back) = 54% TBSA.
Question 3 of 5
A client who is having burn debridement states, 'You are the worst nurse I have ever seen. All you do is hurt me.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Tell me more about that' encourages the client to express feelings, promoting therapeutic communication.
Question 4 of 5
A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse take?
Correct Answer: D
Rationale: Elevating the head (typically 30°, but 20° here) reduces ICP by aiding venous drainage.
Question 5 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.