ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 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 2 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 3 of 5
The nurse is caring for a patient with major burns Total Body Surface Area (TBSA) of 63%. The nurse understands that this patient is at the highest risk for the combination of which types of shock? (Select All that Apply.)
Correct Answer: A,D
Rationale: Severe burns cause hypovolemic shock from fluid loss and distributive shock from systemic inflammatory response syndrome (SIRS).
Question 4 of 5
The nurse is caring for a client with trigeminal neuralgia. Which medical prescription would the nurse anticipate?
Correct Answer: B
Rationale: Carbamazepine is the first-line treatment for trigeminal neuralgia, reducing nerve excitability and pain episodes.
Question 5 of 5
What action priority in preventing anaphylactic shock?
Correct Answer: B
Rationale: Identifying and documenting allergies before administering medications or treatments helps prevent exposure to known allergens, reducing the risk of anaphylaxis.