ATI RN
ATI Med Surg Nursing 300 Final 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,D
Rationale: A- patients can receive O- (universal donor) and A- blood, as both lack B and Rh antigens, preventing immune reactions.
Question 2 of 5
In providing care to a patient who sustained left sided 10th through 12th rib fractures, the nurse notes Kehr's Cullen's and Gray Turner's signs during assessment. Which abdominal organ is most likely to be affected by this trauma?
Correct Answer: C
Rationale: Kehr's (left shoulder pain), Cullen's (periumbilical bruising), and Gray Turner's (flank bruising) signs indicate splenic injury, common with left-sided rib fractures.
Question 3 of 5
The nurse identifies that which patient with a burn injury most likely require endotracheal intubation or tracheostomy tube? The patient with:
Correct Answer: D
Rationale: Thermal burns to the head, neck, face, and airway risk airway edema, necessitating intubation or tracheostomy to secure the airway.
Question 4 of 5
A nurse is caring for a client who has suspected hemorrhagic stroke from a ruptured cerebral aneurysm. Which of the following manifestations would the nurse expect?
Correct Answer: D
Rationale: A sudden, severe headache ('worst headache of my life') is classic for a ruptured cerebral aneurysm, causing hemorrhagic stroke.
Question 5 of 5
The nurse understands the primary assessment for a patient following a major trauma:
Correct Answer: B
Rationale: The ABCDE (Airway, Breathing, Circulation, Disability, Exposure) approach prioritizes life-threatening issues in trauma assessment.