ATI RN MEDICAL SURGICAL PRACTICE EXAM
2024-2025 FORM A AND B COMPLETE EXAM 140
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Terms in this set (90)
A nurse at an urgent care - Administering epinephrine
clinic is caring for a client
who is experiencing an RATIONALE: Evidence-based practice indicates that the
anaphylactic reaction. After priority intervention is for the nurse to administer
ensuring a patent airway, epinephrine quickly to dilate the bronchioles and
which of the following prevent circulatory shock.
interventions is the priority?
- Obtaining vital signs
- Placing the client in
Fowler's position
- Administering epinephrine
- Initiating an IV infusion of
0.9% sodium chloride
, - Wound drainage
A nurse has received report
on a client who is being RATIONALE: The nurse should apply a pressure dressing
admitted to the emergency to control bleeding.
department.
- Oxygen saturation
Select the 3 findings that
require follow-up by the RATIONALE: The client has an oxygen saturation that is
nurse. less than the expected reference level, indicating
hypoxia. The nurse should plan to increase the client's
- GCS score supplemental oxygen.
- Wound drainage
- Oxygen saturation - Pain level
- Pain level
- Temperature RATIONALE: The nurse should follow-up on the client's
pain level.
A nurse in an acute care - Ensure that the patient has a patent IV
facility is caring for a client
who is at risk for seizures. RATIONALE: The nurse should ensure the client has IV
Which of the following access in the event that the client requires medication to
precautions should the stop seizure activity.
nurse implement?
- Place a padded tongue
blade at the client's bedside
- Keep the side rails
lowered on the client's bed
- Maintain the client's bed at
hip level or above
- Ensure that the patient has
a patent IV
,A nurse in an emergency - Check the client's neurologic status
department is assessing an
older adult client who has a RATIONALE: The first action the nurse should take using
fractured wrist following a the nursing process is to assess the client. Therefore, the
fall. During the assessment, nurse should first check the neurologic status of the
the client states, "Last week client.
I crashed my car because
my vision suddenly became
blurry." Which of the
following actions is the
nurse's priority?
- Check the client's
neurologic status
- Document the client's
statements
- Prepare the client for a CT
scan
- Teach the client about
using safety precautions for
falls
A nurse in an emergency - IV fluids
department is caring for a
client who has full-thickness RATIONALE: After establishing that the client's airway is
burns over 20% of their total secure and administering oxygen, evidence-based
body surface area. After practice indicates that the nurse should prepare to
ensuring a patent airway administer IV fluids to provide circulatory support.
and administering oxygen,
which of the following items
should the nurse prepare to
administer first?
- IV fluids
- Analgesia
- Antibiotics
- Tetanus toxoid
, A nurse in an emergency - Heart rate 110/min
department is caring for a
client who reports vomiting RATIONALE: A client who has a 3-day history of vomiting
and diarrhea for the past 3 and diarrhea is likely to have fluid volume deficit and an
days. Which of the elevated heart rate.
following findings should
indicate to the nurse that
the client is experiencing
fluid volume deficit?
- Heart rate 110/min
- Blood pressure 138/90
mmHg
- Urine specific gravity 1.001
(1.005 to 1.03)
- BUN 8 mg/dL (10-20
md/dL)
A nurse in a provider's - Report of a night cough
office is assessing a client
who has HTN and takes RATIONALE: The nurse should recognize that a night
propranolol. Which of the cough is an early indication of heart failure and report
following assessment this adverse reaction to the provider.
findings should indicate to
the nurse that the client is
experiencing an adverse
reaction to this medication?
- Report of a night cough
- Report of tinnitus
- Report of excessive
tearing
- Report of increased
salivation
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