ATI RN
ATI Med Surg 2 Questions
Extract:
Question 1 of 5
A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: In mass casualty triage, an apneic client who does not resume breathing after airway repositioning is tagged black, indicating non-salvageable status.
Question 2 of 5
A nurse is providing discharge teaching to a client who has a new arteriovenous fistula in the right forearm. Which of the following manifestations should the nurse include in the teaching as a possible indication of venous insufficiency?
Correct Answer: A
Rationale: Cold and numb sensation distal to the fistula site indicates venous insufficiency due to reduced venous return.
Question 3 of 5
A nurse in the emergency department is caring for a client who sustained a head injury. The nurse notes the client's IV fluids are infusing at 125 mL/hr. Which of the following is an appropriate action by the nurse?
Correct Answer: C
Rationale: Continuing at 125 mL/hr maintains hydration without risking fluid overload or increased intracranial pressure.
Question 4 of 5
A nurse in an emergency department is assessing a client who was bitten on the left leg by a poisonous snake. The client has placed elastic bandages snugly above and below the bite marks and is in no apparent distress. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Removing elastic bandages prevents impaired blood flow and tissue damage, while elevating the leg reduces venom absorption.
Question 5 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.