ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is preparing to start a transfusion of packed red blood cells. Which IV site should the nurse use?
Correct Answer: B
Rationale: A 20-gauge catheter with normal saline is suitable for PRBC transfusion due to compatibility and adequate size.
Question 2 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 3 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 4 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 5 of 5
A heparin IV bolus is ordered: 80 units per kilogram. The unit's pharmacist prepares & labels a dose of heparin that is 5600 units. What is the patient's weight in kilograms?
Correct Answer: A
Rationale: 5600 units ÷ 80 units/kg = 70 kg.