ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 of 5
A sexual assault nurse examiner (SANE) is a caring for a client who experienced sexual assault. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The SANE's priority is to ensure the client's safety and well-being. Legal testimony, police involvement, and evidence collection are secondary or not the nurse's role.
Question 2 of 5
A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis?
Correct Answer: B
Rationale: Chronic alcohol use is the most common cause of liver cirrhosis due to liver cell damage and fibrosis. Cocaine, inhalants, and caffeine are not primary causes.
Question 3 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 4 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect?
Correct Answer: A,C,D
Rationale: Fluid overload causes tachycardia to compensate for increased volume, hypertension due to increased vascular resistance, and tachypnea from pulmonary congestion. Hematocrit is typically decreased due to dilution. Temperature is not directly affected unless infection is present.
Question 5 of 5
A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take.
Correct Answer: C,D,E,B,A
Rationale: The ABCDE framework prioritizes airway (jaw-thrust), breathing (ventilatory assessment), circulation (IV access), disability (Glasgow Coma Scale), and exposure (remove clothing).