ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
What is the goal of treatment for the client diagnosed with cardiogenic shock?
Correct Answer: B
Rationale: Reducing cardiac workload and improving systemic perfusion are key to managing cardiogenic shock.
Question 2 of 5
A patient is ordered a heparin infusion at 1200 units/hour. Historically, IV heparin is premixed as 25,000 units of heparin in 250 mL NSS at the institution. Nurse A starts the infusion at 12 mL/hr at 1700. The nurse asks their colleague to cosign the infusion for a prescribed rate change at 1900. Nurse B reminds Nurse A that there has been a recent pharmacy policy change. The IV heparin that the patient is currently receiving is 50,000 units in 250 mL in NSS. Which of the following action(s)/statement(s) are accurate in this scenario? (Select All that Apply.)
Correct Answer: C,E,F
Rationale: A medication error occurred, the patient received an overdose, and the overdose amount is correctly calculated as 3200 units.
Question 3 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 4 of 5
The nurse caring for a client with severe sepsis suspects the client may be developing disseminated intravascular coagulation (DIC). Which of the following signs and symptoms would support the diagnosis of DIC?
Correct Answer: C
Rationale: Oozing blood from IV sites is a classic sign of DIC due to excessive clotting followed by bleeding.
Question 5 of 5
The nurse is caring for a client who received a blunt force injury to zone II of the neck. Which assessment finding should the nurse report to the physician IMMEDIATELY?
Correct Answer: C
Rationale: Dysphonia or dysphagia indicate airway compromise, requiring immediate attention.