ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client receiving their second unit of Packed Red Blood Cells for an initial hemoglobin. The client appears flushed and complains of itching and urticaria. After following protocol (stopping transfusion, running 0.9% normal saline) and notifying the health care provider, the nurse would prepare to administer:
Correct Answer: C
Rationale: Diphenhydramine is used to treat mild allergic transfusion reactions such as flushing, itching, and urticaria.
Question 2 of 5
What is the goal of treatment for the client diagnosed with cardiogenic shock?
Correct Answer: B
Rationale: Reducing cardiac workload and improving systemic perfusion are key to managing cardiogenic shock.
Question 3 of 5
The nurse is caring for a burn victim during the emergent phase. Assessment findings include white charred leathery wounds over 72% Total Body Surface Area (TBSA). Following intubation and mechanical ventilation, what is the priority intervention?
Correct Answer: A
Rationale: Fluid resuscitation is critical to restore intravascular volume and prevent hypovolemic shock in severe burns.
Question 4 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 5 of 5
How should the nurse evaluate the client's motor ability and function?
Correct Answer: B
Rationale: Asking the client to perform tasks like squeezing a hand or lifting an arm directly assesses motor strength and coordination, key components of motor function.