ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 of 5
A patient with a TBI is experiencing increased Intracranial pressure. What position should the nurse place the patient?
Correct Answer: A
Rationale: Elevating the head to 30 degrees with neck midline facilitates venous drainage, reducing ICP. Other positions increase ICP by obstructing venous outflow or increasing cerebral blood flow.
Question 2 of 5
A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Defibrillation is the priority for ventricular fibrillation, a lethal arrhythmia, as early defibrillation increases survival chances. Epinephrine, airway management, and amiodarone are secondary actions.
Question 3 of 5
A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take?
Correct Answer: A,C,D
Rationale: Side-lying position prevents aspiration, removing objects reduces injury risk, and assessing airway patency prevents hypoxia.
Tongue depressors and restraints are contraindicated.
Question 4 of 5
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?
Correct Answer: C
Rationale: Aspirin inhibits platelet aggregation, reducing clot formation and cardiovascular event risk in MI patients. Its analgesic, anti-inflammatory, and antipyretic properties are not the primary reasons for its use in this context.
Question 5 of 5
A nurse is assessing a client who develops respiratory distress, absence of breath sounds on one side, and deviation of the trachea away from the affected side. Based on these manifestations, which of the following conditions is the infant experiencing?
Correct Answer: D
Rationale: Tension pneumothorax causes respiratory distress, absent breath sounds, and tracheal deviation away from the affected side due to air accumulation in the pleural space. Flail chest, contusion, and fractured rib do not cause tracheal deviation.