ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is preparing to administer a unit of packed red blood cells (PRBC's) to a patient whose blood type is A- (negative). The nurse knows that this patient can receive transfusions from which blood types? (Select All that Apply)
Correct Answer: A,E
Rationale: A- patients can receive A- (same type) and O- (universal donor) blood, as these lack antigens that could trigger an immune response.
Question 2 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 3 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 4 of 5
Which action is safest for the registered nurse (RN) to delegate to the certified nursing assistant (CNA)?
Correct Answer: C
Rationale: Measuring weight is within a CNA's scope of practice and does not require clinical judgment, making it safe to delegate.
Question 5 of 5
Complete the following sentence with one of the options regarding the pathophysiology of this type of shock. The nurse isp caring for an elderly patient from a nursing home diagnosed with a urinary tract infection. The nurse assesses the patient as hypotensive, tachycardic, febrile, tachypneic, and with an altered mental status. The nurse understands that the pathophysiology of this type of shock is caused by___
Correct Answer: C
Rationale: The patient is exhibiting signs of septic shock, which occurs as a result of a severe infection leading to systemic inflammatory response syndrome (SIRS). The presence of fever, tachycardia, tachypnea, hypotension, and altered mental status strongly suggests sepsis progressing to septic shock.