ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for an adult with a burn injury. The following parts of the patient's body were burned: anterior and posterior right arm, posterior trunk. and posterior right leg. Using the Rule of Nines, calculate the Total Body Surface Area (TBSA) percentage that is involved.
Correct Answer: C
Rationale: Using the Rule of Nines: Entire right arm (9%) + Posterior trunk (18%) + Posterior right leg (9%) = 36% TBSA.
Question 2 of 5
A nurse is performing an initial interview of a client who has a neurologic deficit. Which actions by the nurse are MOST appropriate? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D,E
Rationale: Establishing trust, observing physical signs, reviewing medications, and assessing substance use are critical for a comprehensive neurological assessment.
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 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 5 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.