ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who received a blunt force injury to zone II of the neck. Which assessment finding should the nurse report to the physician IMMEDIATELY?
Correct Answer: C
Rationale: Dysphonia or dysphagia indicate airway compromise, requiring immediate attention.
Question 2 of 5
The nurse is caring for a client with 40% full thickness burned total body surface area (TBSA) in the Emergency Department. The nurse is awaiting transfer to a regional burn center within 20 minutes. What is the most appropriate initial wound care management while awaiting transfer?
Correct Answer: D
Rationale: Covering with a clean, dry sheet prevents hypothermia and infection before transfer.
Question 3 of 5
A patient is ordered 1 unit of packed red blood cells (250mL) to be transfused over 120 minutes. The drop factor on the tubing is 15 gtt/mL. At what rate should the nurse regulate the IV (gtt/min)? (round to the nearest whole number)
Correct Answer: A
Rationale: Flow rate = (
Total volume × Drop factor) ÷ Time in minutes = (250 × 15) ÷ 120 = 31.25, rounded to 31 gtt/min.
Question 4 of 5
The nurse is caring for a client who presents with a chemical burn to the right hand, what should the nurse do first?
Correct Answer: D
Rationale: Immediate irrigation with room temperature water removes the chemical and dilutes its effect, the first critical step.
Question 5 of 5
The client who is experiencing septic shock is started on norepinephrine by intravenous drip via pump. Which frequent assessments should the nurse prioritize while administering this medication? (Select All that Apply)
Correct Answer: C,D,E
Rationale: Norepinephrine is a vasopressor requiring frequent monitoring of the IV site to prevent extravasation, blood pressure and heart rate to assess therapeutic effect, and hourly urine output to evaluate organ perfusion.