ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
The nurse in a trauma unit has received a report on a client who has multiple injuries following a motor vehicle crash. Which of the following actions should the nurse plan to take first?
Correct Answer: A
Rationale: Evaluating chest expansion assesses breathing, a priority in trauma care per the ABCs.
Question 2 of 5
A nurse in the emergency department is caring for a client who has an epidural hematoma following a motor-vehicle crash. Which of the following is an expected finding for this client?
Correct Answer: B
Rationale: Epidural hematomas often present with a lucid interval followed by unconsciousness due to rapid bleeding.
Question 3 of 5
A nurse is caring for a client who has a traumatic head injury and is exhibiting signs of increasing intracranial pressure. Which of the following medications should the nurse plan to administer?
Correct Answer: D
Rationale: Mannitol 25% is an osmotic diuretic used to reduce intracranial pressure by drawing fluid out of the brain tissue.
Question 4 of 5
A nurse is caring for a client who had an evacuation of a subdural hematoma. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Checking the oximeter first assesses oxygenation status, which is critical post-surgery and aligns with the priority of ensuring adequate breathing.
Question 5 of 5
A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed-head injury. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Log rolling maintains spinal alignment and minimizes ICP increases during repositioning.