ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 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.
Question 2 of 5
The Emergency Department (ED) nurse is assessing an 80-year-old patient who has superficial, partial thickness and deep partial thickness scald burns on bilateral anterior and posterior hands and forearms. The nurse estimates that the total body surface Tire CTBSA) burned is 27%. What should the nurse include in the emergent plan of care?
Correct Answer: A
Rationale: 27% TBSA burns require fluid resuscitation to prevent shock and transfer to a burn center for specialized care.
Question 3 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 4 of 5
The nurse assesses the patient with a spinal cord injury at the level C-7 and finds warm, flushed skin with profuse sweating above the level of injury, and pale, cold skin below the level of injury. The patient is bradycardic, but severely hypertensive. What are the priority nursing interventions?
Correct Answer: B
Rationale: Symptoms indicate autonomic dysreflexia, requiring assessment for noxious stimuli (e.g., bladder distension) and anticipation of antihypertensives to manage severe hypertension.
Question 5 of 5
The nurse is caring for a patient who sustained a spinal cord injury (SCI) at T1. The alarm on the monitor sounds because the patient's blood pressure is 86/50 and the heart rate is 44. The nurse's priority action would be to:
Correct Answer: A
Rationale: Hypotension and bradycardia suggest neurogenic shock in T1 SCI. Assessing neurological status and repeating vital signs confirm the cause, guiding treatment. Other options are premature or inappropriate.