ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has an abdominal aortic aneurysm. The physician explains to the client that the aneurysm is small and that the client will be managed medically. Based on this information, it is most important that the nurse reinforces discharge teaching about:
Correct Answer: C
Rationale: Hypertension increases pressure on the aneurysm, increasing the risk of expansion and rupture. Strict adherence to antihypertensive medications is essential for preventing complications.
Question 2 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 3 of 5
The nurse caring for a client with severe sepsis suspects the client may be developing disseminated intravascular coagulation (DIC). Which of the following signs and symptoms would support the diagnosis of DIC?
Correct Answer: C
Rationale: Oozing blood from IV sites is a classic sign of DIC due to excessive clotting followed by bleeding.
Question 4 of 5
The nurse cannot auscultate bowel sounds during the assessment of a client who has had a repair of an abdominal aortic aneurysm four days ago. The client is complaining of severe abdominal pain and the abdomen is distended. What action should the nurse take at this time?
Correct Answer: D
Rationale: Absent bowel sounds, severe pain, and distension suggest bowel ischemia, requiring immediate surgical evaluation.
Question 5 of 5
The nurse is caring for a client who has suffered a gunshot wound to the anterior chest. The client has been intubated and is currently being ventilated with a bag-valve device. What is the priority intervention for this client now?
Correct Answer: B
Rationale: Obtaining IV access with two large bore lines is critical for fluid resuscitation and medication administration, which are immediate priorities after securing the airway in a chest trauma case.