Questions 52

ATI RN

Home > ATI RN > ATI Medical Surgical > ATI n300 Med Surg Exam
ATI RN Test Bank

ATI n300 Med Surg Exam Questions

Extract:


Question 1 of 5

The client admitted with sickle cell anemia crisis is being treated with a transfusion of 2 units of packed red blood cells (PRBC's) for a low hemoglobin. The client demonstrating a new onset of chest pain, low back pain, tachycardia and anxiety. The nurse's immediate intervention is

Correct Answer: A

Rationale: Symptoms suggest an acute hemolytic transfusion reaction, requiring immediate cessation of the transfusion and administration of normal saline.

Question 2 of 5

The nurse is caring for an adult with a burn injury. The following parts of the patient's body were burned: anterior and posterior right arm, posterior trunk. and posterior right leg. Using the Rule of Nines, calculate the Total Body Surface Area (TBSA) percentage that is involved.

Correct Answer: C

Rationale: Using the Rule of Nines: Entire right arm (9%) + Posterior trunk (18%) + Posterior right leg (9%) = 36% TBSA.

Question 3 of 5

The nurse is caring for a client with SOB, wheezes, urticaria, itching and angioedema after receiving vancomycin IV. What is the priority nursing intervention after stopping the medication? Administer:

Correct Answer: C

Rationale: Epinephrine is the first-line treatment for anaphylaxis, reversing airway swelling, hypotension, and bronchoconstriction.

Question 4 of 5

A patient is ordered 1 unit of packed red blood cells (250mL) to be transfused over 120 minutes. The drop factor on the tubing is 15 gtt/mL. At what rate should the nurse regulate the IV (gtt/min)? (round to the nearest whole number)

Correct Answer: A

Rationale: Flow rate = (
Total volume × Drop factor) ÷ Time in minutes = (250 × 15) ÷ 120 = 31.25, rounded to 31 gtt/min.

Question 5 of 5

For the nurse to correctly classify the severity of a burn injury of a client, what must be assessed? (Select All that Apply.)

Correct Answer: A,B,C,D

Rationale: Causative agent, depth, location, and TBSA are critical for assessing burn severity.

Similar Questions

What action priority in preventing anaphylactic shock?
How should the nurse evaluate the client's motor ability and function?
The nurse is caring for an elderly client with type II diabetes who has had nausea, vomiting and diarrhea for several days and who now is disoriented and listless. Initial vital signs: B/P 72/62, pulse 146 irregular and thready, respirations 38 breaths per minute and shallow, and temperature of 97.0 F rectally. The skin is cool and clammy. The nurse recognizes that this client's symptoms are most indicative of which stage and type of shock? The:
The nurse is preparing to administer a unit of packed red blood cells (PRBC's) to a patient whose blood type is A- (negative). The nurse knows that this patient can receive transfusions from which blood types? (Select All that Apply)
The nurse is caring for a patient with muffled heart sounds, jugular venous distention and hypotension. The provider diagnoses the patient with cardiac tamponade. The nurse understands that the priority of treatment for this type of shock is

Access More Questions!

ATI RN Basic

$89/ 30 days

 

ATI RN Premium

$150/ 90 days