Questions 41

ATI RN

ATI RN Test Bank

ATI Nurs 258 Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse is discussing emergency response with a newly licensed nurse. Which statement by the newly licensed nurse indicates an understanding of who can serve as a triage officer during this time?

Correct Answer: B

Rationale: Nurses and emergency medical personnel are trained to assess and prioritize care, making them suitable triage officers.

Question 2 of 5

A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Checking for kinks in the tubing is the first step to ensure proper catheter function.

Question 3 of 5

A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the healthcare provider to care for first?

Correct Answer: A

Rationale: Drooling and difficulty swallowing indicate potential airway obstruction, requiring immediate attention.

Question 4 of 5

A client was found in a parked car with the motor running. The paramedic brought the client to the emergency department with complaints of a headache, nausea, and dizziness and the client is unable to recall their name or address. On assessment, the nurse notes the buccal mucosa is a cherry-red color. Which intervention should the nurse implement first?

Correct Answer: B

Rationale: High-flow oxygen via a nonrebreather mask is the first intervention to displace carbon monoxide from hemoglobin.

Question 5 of 5

A nurse is teaching a client who has a new diagnosis of genital herpes. Which of the following statements by the client indicates the need for further teaching?

Correct Answer: A

Rationale: Genital herpes can be transmitted even without visible lesions due to asymptomatic viral shedding.

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