ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for an 82-year-old client with a history of coronary artery disease, MI, and CHF. The client is to receive 2 units of packed red blood cells for acute blood loss from a GI bleed. What would be the nursing priorities for blood administration of this client? (Select All that Apply)
Correct Answer: A,C,D
Rationale: Slow administration, furosemide to prevent fluid overload, and monitoring for fluid overload signs are critical in CHF patients.
Question 2 of 5
Which of the following measures would the nurse emphasize to assist the client diagnosed with trigeminal neuralgia in managing their pain?
Correct Answer: D
Rationale: Clients with trigeminal neuralgia may experience severe pain on one side of the face, especially when chewing. Chewing on the unaffected side reduces pain by avoiding stimulation of the affected nerve.
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 is assessing a client for Brudzinski's sign as part of their neurologic assessment. Which of the following are appropriate actions by the nurse when performing this technique? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D
Rationale: Flexing the neck in a supine position with a hand behind the head tests for Brudzinski's sign.
Question 5 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.