Questions 52

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ATI RN Test Bank

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.

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