ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 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 2 of 5
The nurse is caring for a client with SOB, wheezes, urticaria, itching and angioedema after receiving vancomycin IV. What is the priority nursing intervention after stopping the medication? Administer:
Correct Answer: C
Rationale: Epinephrine is the first-line treatment for anaphylaxis, reversing airway swelling, hypotension, and bronchoconstriction.
Question 3 of 5
The nurse is caring for an elderly client with type II diabetes who has had nausea, vomiting and diarrhea for several days and who now is disoriented and listless. Initial vital signs: B/P 72/62, pulse 146 irregular and thready, respirations 38 breaths per minute and shallow, and temperature of 97.0 F rectally. The skin is cool and clammy. The nurse recognizes that this client's symptoms are most indicative of which stage and type of shock? The:
Correct Answer: C
Rationale: The client shows signs of hypovolemic shock from fluid loss, with progressive stage indicated by hypotension, tachycardia, and altered mental status.
Question 4 of 5
An 85-year-old client is seen in the Emergency Department after a fall at home. The client is slightly confused, malnourished, and severely dehydrated. The client is reluctant to say what happened and her daughter constantly interrupts, not allowing the client to answer. Which of the following nursing interventions is a priority?
Correct Answer: B
Rationale: The client's reluctance and daughter's interruptions suggest potential elder abuse, making private assessment the priority.
Question 5 of 5
The nurse is performing an assessment on a client. How would the nurse best evaluate improvement or deterioration in the neurologic status?
Correct Answer: B
Rationale: Serial Glasgow Coma Scale exams track changes in neurologic status over time effectively.