Questions 52

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ATI n300 Med Surg Exam Questions

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Question 1 of 5

The nurse in the ICU is assessing a client who sustained blunt abdominal trauma. The client has received 3 liters of crystalloid solution in the Emergency Department and 5 units of Packed Red Blood Cells (PRBCs) in the Operating Room. What assessment finding would the nurse report to the physician IMMEDIATELY?

Correct Answer: C

Rationale: Severe hypotension and low urine output indicate ongoing shock, requiring immediate intervention.

Question 2 of 5

How would the nurse position the client with burns of the head, neck, chest, right arm and hand to prevent contractures?

Correct Answer: C

Rationale: Semi-Fowler's position without a pillow and elevating the arm prevents contractures and promotes edema drainage.

Question 3 of 5

The nurse is caring for an adult with a burn injury. The following parts of the patient's body were burned: anterior and posterior right arm, posterior trunk. and posterior right leg. Using the Rule of Nines, calculate the Total Body Surface Area (TBSA) percentage that is involved.

Correct Answer: C

Rationale: Using the Rule of Nines: Entire right arm (9%) + Posterior trunk (18%) + Posterior right leg (9%) = 36% TBSA.

Question 4 of 5

A heparin IV bolus is ordered: 80 units per kilogram. The unit's pharmacist prepares & labels a dose of heparin that is 5600 units. What is the patient's weight in kilograms?

Correct Answer: A

Rationale: 5600 units ÷ 80 units/kg = 70 kg.

Question 5 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.

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