ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
The client who is experiencing septic shock is started on norepinephrine by intravenous drip via pump. Which frequent assessments should the nurse prioritize while administering this medication? (Select All that Apply)
Correct Answer: C,D,E
Rationale: Norepinephrine is a vasopressor requiring frequent monitoring of the IV site to prevent extravasation, blood pressure and heart rate to assess therapeutic effect, and hourly urine output to evaluate organ perfusion.
Question 2 of 5
The nurse in the emergency department is caring for a client with multiple injuries following a motor vehicle crash. The client lost consciousness. has an open fracture of the left tibia, and active bleeding at the fracture site. What is the priority nursing action?
Correct Answer: D
Rationale: In a trauma patient with loss of consciousness, cervical spine injury must be assumed. Immobilization prevents further damage while other interventions are performed.
Question 3 of 5
A client receiving treatment for severe burns over more than half of his body has an indwelling urinary catheter inserted. When evaluating the client's intake and output, which of the following should be taken into consideration? The amount of urine:
Correct Answer: B
Rationale: In the first 24-48 hours following a severe burn injury, the body may undergo a state of hypovolemia and oliguria. As fluid resuscitation begins, urine output typically increases.
Question 4 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.
Question 5 of 5
The nurse is performing an assessment on a client. How would the nurse best evaluate improvement or deterioration in the neurologic status?
Correct Answer: B
Rationale: Serial Glasgow Coma Scale exams track changes in neurologic status over time effectively.