ATI RN
ATI Nur 175 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is working in the emergency department and is receiving multiple clients from a mass casualty incident. The client arrives by ambulance and is awake, alert, and oriented, complaining of severe abdominal pain with nausea and vomiting. The client's respiratory rate is 20 and has a good radial pulse with normal capillary refill. How would you triage this client using the START triage?
Correct Answer: B
Rationale: The red category in the START triage system is assigned to clients who require immediate life-saving intervention. Although this client is in pain and has severe symptoms, their respiratory rate, pulse, and capillary refill are normal, indicating that they do not need immediate life-saving intervention. The yellow category is designated for clients whose condition is stable but requires observation. This client is awake, alert, and oriented, with a normal respiratory rate, good radial pulse, and normal capillary refill. While they have severe abdominal pain and nausea, their condition does not appear to be life-threatening, making yellow the appropriate triage level. The black category is used for clients who are deceased or have injuries so severe that they are not expected to survive even with immediate medical intervention. This client is stable and responsive, so they do not fall into this category. The green category is for clients with minor injuries who can walk and do not require urgent medical attention. Since this client has severe symptoms and needs medical attention, the green category is not appropriate.
Question 2 of 5
Which action is the priority when providing care to a patient in the preoperative period?
Correct Answer: B
Rationale: The checklist ensures all critical preoperative steps are completed.
Question 3 of 5
The nurse is teaching a class on bioterrorism. What is the scientific rationale for designating a specific area for decontamination?
Correct Answer: B
Rationale: Providing a centralized area for stocking the needed supplies is important for logistical reasons, ensuring that all necessary materials are readily available. However, this is not the primary scientific rationale for designating a specific decontamination area. The primary focus is on preventing contamination and ensuring safety. Preventing secondary contamination to health-care providers is the most crucial reason for designating a specific area for decontamination. This measure is vital to avoid spreading hazardous substances to others and ensuring the safety and effectiveness of the decontamination process. By containing the contamination in a controlled area, health-care providers can minimize the risk of exposure and cross-contamination. Designating an area where bioterrorism clients can receive care is important, but it is not the primary rationale for having a specific decontamination area. While care and treatment are critical, the main goal of the decontamination area is to remove contaminants and protect health-care providers and other patients from exposure. Providing showers and privacy to the client in the decontamination area is beneficial for the comfort and dignity of the client. However, this is not the main scientific rationale for having a designated decontamination area. The primary reason is to control and contain contamination and prevent it from spreading.
Question 4 of 5
The nurse working in the emergency department is triaging a 65-year-old female client from a mass casualty motor vehicle crash. The client arrives ambulatory by ambulance and is complaining of a headache and neck pain. She is awake, alert, and oriented, and follows commands appropriately. What START triage level would be assigned to this client?
Correct Answer: B
Rationale: The yellow category in the START triage system is for clients who are unable to walk but have stable conditions that do not require immediate life-saving intervention. Since this client is ambulatory, she does not fit into the yellow category. The green category is for clients who are ambulatory with minor injuries and do not require urgent medical attention. This client is awake, alert, oriented, and able to follow commands, indicating that she is stable and her injuries are not life-threatening. The black category is for clients who are deceased or have injuries so severe that they are not expected to survive even with immediate medical intervention. This client is stable and responsive, so she does not fit into this category. The red category is for clients who need immediate life-saving intervention. Although this client has a headache and neck pain, her vital signs and ability to follow commands indicate that she does not require immediate life-saving intervention.
Question 5 of 5
When assessing a patient taking stimulant medications, the nurse should monitor for which of the following?
Correct Answer: B
Rationale: Stimulants increase heart rate, making tachycardia a critical side effect to monitor.