ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
An 85-year-old client is seen in the Emergency Department after a fall at home. The client is slightly confused, malnourished, and severely dehydrated. The client is reluctant to say what happened and her daughter constantly interrupts, not allowing the client to answer. Which of the following nursing interventions is a priority?
Correct Answer: B
Rationale: The client's reluctance and daughter's interruptions suggest potential elder abuse, making private assessment the priority.
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 caring for a client with a spinal cord injury at C3. The nurse notices on the cardiac monitor a heart rate of 30 beats per minute & upon assessment of the patient, a change in mental status. What medication does the nurse anticipate will be ordered by the physician STAT?
Correct Answer: A
Rationale: Atropine is the first-line treatment for symptomatic bradycardia caused by disrupted sympathetic control in a C3 spinal cord injury.
Question 4 of 5
The nurse is viewing orders for a client with a suspected diagnosis of disseminated intravascular coagulation (DIC). The nurse recognizes that which laboratory test order set will most effectively guide the provider to a diagnosis of DIC?
Correct Answer: A
Rationale: D-dimer, fibrinogen, and fibrin degradation products reflect the clotting and fibrinolysis characteristic of DIC.
Question 5 of 5
The nurse is caring for an 82-year-old client with a history of coronary artery disease, MI, and CHF. The client is to receive 2 units of packed red blood cells for acute blood loss from a GI bleed. What would be the nursing priorities for blood administration of this client? (Select All that Apply)
Correct Answer: A,C,D
Rationale: Slow administration, furosemide to prevent fluid overload, and monitoring for fluid overload signs are critical in CHF patients.