ATI RN
ATI Nurs 258 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse working in an emergency department is caring for a client who has been exposed to sarin gas following a bioterrorism attack. Which of the following interventions should the nurse plan to take?
Correct Answer: D
Rationale: Sarin gas, a nerve agent, can cause seizures, necessitating seizure precautions.
Question 2 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.
Question 3 of 5
A nurse in an emergency department is caring for a client who has a deep laceration on her left lower forearm and is bleeding heavily from the wound. Which of the following interventions should the nurse perform first?
Correct Answer: C
Rationale: Direct pressure is the first step to control severe bleeding and stabilize the wound.
Question 4 of 5
A nurse is preparing to administer Ringer lactate 500 mL intravenous (IV) bolus to infuse over 3 hours. The drop factor of the manual IV tubing is 2 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 56
Rationale: The infusion rate is calculated as (500 mL ÷ 180 min) × 20 gtt/mL = 55.6 gtt/min, rounded to 56 gtt/min.
Question 5 of 5
A nurse in an emergency department is caring for a client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Gathering a sensitive history ensures appropriate care and evidence collection without causing further distress.