ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The Emergency Department (ED) nurse is assessing an 80-year-old patient who has superficial, partial thickness and deep partial thickness scald burns on bilateral anterior and posterior hands and forearms. The nurse estimates that the total body surface Tire CTBSA) burned is 27%. What should the nurse include in the emergent plan of care?
Correct Answer: A
Rationale: 27% TBSA burns require fluid resuscitation to prevent shock and transfer to a burn center for specialized care.
Question 2 of 5
The neurologic assessment of a patient indicated impaired function of the glossopharyngeal nerve (CN 10) and the vagus nerve (C.N X). Based on these findings, the nurse plans to:
Correct Answer: B
Rationale: Impaired CN IX and X increase aspiration risk due to swallowing difficulties, so withholding oral intake is priority to prevent pneumonia.
Question 3 of 5
A young adult is brought to the Emergency Department (ED) after a motor vehicle accident (MVA). The patient has severe right chest pain where there was impact with the steering wheel. Which is the priority patient goal?
Correct Answer: D
Rationale: Chest trauma may cause pneumothorax or hemothorax, impairing oxygenation. Maintaining adequate oxygenation is the priority to prevent hypoxia, before addressing anxiety, circulation, or pain.
Question 4 of 5
The nurse is caring for a client who has a nasogastric (NG) tube in place. Which action should the nurse take to verify tube placement?
Correct Answer: B
Rationale: Checking the pH of gastric aspirate (pH < 5) confirms NG tube placement in the stomach, a non-invasive and reliable method.
Question 5 of 5
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).
Correct Answer: A,D
Rationale: A- patients can receive O- (universal donor) and A- blood, as both lack B and Rh antigens, preventing immune reactions.