ATI RN
ATI Advanced Med Surg Exam 4 Questions
Extract:
Question 1 of 5
When requested to plan the response to the potential use of smallpox as a biological weapon, what should the emergency department (ED) nurse manager expect to obtain?
Correct Answer: D
Rationale: Vaccine is critical for smallpox prevention if administered early.
Question 2 of 5
The following interventions are part of the emergency department (ED) protocol for a patient who has been admitted with multiple bee stings to the hands. Which action should the nurse take first?
Correct Answer: D
Rationale: Administering diphenhydramine first mitigates the risk of anaphylaxis from bee venom.
Question 3 of 5
A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: Myelosuppression reduces platelets, increasing bleeding risk, such as from gums.
Extract:
Nurses' Notes
40-year-old client is 2 days post-op following a renal transplant. Client alert and oriented x3. Sitting in high Fowler's. Skin warm and dry. Client reports pain at incision site as 5 on a scale of 0 to 10. Incision approximated, sutures intact. No drainage noted. Heart sounds regular. Lung sounds diminished throughout. Instructed to use incentive spirometer. Abdomen soft and non-distended. Bowel sounds hypoactive x4. 1+ peripheral edema noted bilaterally. Foley catheter patent, urine pink tinged. Urine output in last hour 1500mL
Vital Signs
Temperature 37.7° C (99.8° F)
Heart rate 110/min
Respiration rate 24/min
BP 94/56 mm Hg
Oxygen saturation 96% on room air
Question 4 of 5
A nurse is caring for a 40-year-old client in a transplant unit. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: A, A, C, A, B
Rationale: Hypovolemia indicated by high urine output and low BP. Lower bed and IV bolus address hypovolemia; monitor urine output and BP.
Extract:
Question 5 of 5
A nurse in an emergency department is assessing a client who was bitten on the left leg by a poisonous snake. The client has placed elastic bandages snuggly above and below the bite marks and is in no apparent distress. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Obtaining anti-venom is critical to prevent systemic effects of venom.