ATI RN
ATI Med Surg 2 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who had a traumatic brain injury and is emerging restlessly from a coma. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Reducing stimuli helps calm the client and prevents sensory overload during coma emergence.
Question 2 of 5
A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: Increasing IV fluid rate restores intravascular volume, preventing shock and reducing bleeding viscosity.
Question 3 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: B
Rationale: Oliguria is an expected finding in hypovolemic shock due to reduced renal perfusion.
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: B
Rationale: Elevating the head of the bed to 30 degrees reduces intracranial pressure by facilitating venous drainage.
Question 5 of 5
A community health nurse is providing a community education program about disaster preparedness. Which of the following should the nurse recommend that clients include in their family's disaster readiness supply kit or "go bag"?
Correct Answer: A,B,D,E
Rationale: Correct items include insurance cards for medical access, a whistle for signaling, bleach for disinfection, and pencil/paper for communication.