ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
A young adult is admitted to the emergency department after a motor vehicle crash. The client has severe pain in the right chest due to impact with the steering wheel. Which is the priority client goal?
Correct Answer: D
Rationale: Chest trauma can impair gas exchange, making oxygenation the priority to prevent hypoxia.
Question 2 of 5
The nurse is caring for a client who has suffered a gunshot wound to the anterior chest. The client has been intubated and is currently being ventilated with a bag-valve device. What is the priority intervention for this client now?
Correct Answer: B
Rationale: Obtaining IV access with two large bore lines is critical for fluid resuscitation and medication administration, which are immediate priorities after securing the airway in a chest trauma case.
Question 3 of 5
The nurse is preparing to start a transfusion of packed red blood cells. Which IV site should the nurse use?
Correct Answer: B
Rationale: A 20-gauge catheter with normal saline is suitable for PRBC transfusion due to compatibility and adequate size.
Question 4 of 5
The nurse is caring for a client receiving their second unit of Packed Red Blood Cells for an initial hemoglobin. The client appears flushed and complains of itching and urticaria. After following protocol (stopping transfusion, running 0.9% normal saline) and notifying the health care provider, the nurse would prepare to administer:
Correct Answer: C
Rationale: Diphenhydramine is used to treat mild allergic transfusion reactions such as flushing, itching, and urticaria.
Question 5 of 5
The nurse is caring for a client who presents with a chemical burn to the right hand, what should the nurse do first?
Correct Answer: D
Rationale: Immediate irrigation with room temperature water removes the chemical and dilutes its effect, the first critical step.