ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is testing the function of cranial nerve XI (Spinal accessory nerve). Which finding would the nurse expect if the nerve is intact?
Correct Answer: C
Rationale: Cranial nerve XI controls the sternocleidomastoid and trapezius muscles, enabling head turning and shoulder shrugging against resistance.
Question 2 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 3 of 5
A young adult is admitted to the emergency department after a motor vehicle crash. The client has severe pain in the right chest due to impact with the steering wheel. Which is the priority client goal?
Correct Answer: D
Rationale: Chest trauma can impair gas exchange, making oxygenation the priority to prevent hypoxia.
Question 4 of 5
The nurse is performing an assessment on a client. How would the nurse best evaluate improvement or deterioration in the neurologic status?
Correct Answer: B
Rationale: Serial Glasgow Coma Scale exams track changes in neurologic status over time effectively.
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.