ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 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.
Question 2 of 5
The client admitted with sickle cell anemia crisis is being treated with a transfusion of 2 units of packed red blood cells (PRBC's) for a low hemoglobin. The client demonstrating a new onset of chest pain, low back pain, tachycardia and anxiety. The nurse's immediate intervention is
Correct Answer: A
Rationale: Symptoms suggest an acute hemolytic transfusion reaction, requiring immediate cessation of the transfusion and administration of normal saline.
Question 3 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 4 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 5 of 5
The nurse is caring for a client who has completed a blood product transfusion for the treatment of thrombocytopenia. How would the nurse know that treatment has been successful?
Correct Answer: B
Rationale: The primary goal of platelet transfusion is to increase platelet count to reduce bleeding risk in thrombocytopenia.