ATI Med Surg Practice Exam C 2024/2025
1. A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is pending an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements ...
ATI Med Surg Practice Exam C
2024/2025
1. A nurse in a burn treatment center is caring for a client who is admitted with
severe burns to both lower extremities and is pending an escharotomy. The
client's spouse asks the nurse what the procedure entails. Which of the
following nursing statements is appropriate?
A. "Large incisions will be made in the eschar to improve circulation"
b. "I can call the doctor back here if you want me to"
c. "A piece of skin will be removed and grafted over the burned area"
d. "Dead tissue will be surgically removed"
• A. "Large incisions will be made in the eschar to improve circulation"
2. A nurse is monitoring the fluid replacement of a client who has sustained
burns. Which of the following fluids is used in the first 24 hours following a
burn injury?
A. 5% dextrose in water
b. 5% dextrose in normal saline
c. Normal saline
d. Lactated ringers
• D. Lactated ringers
3. A nurse is caring for a client who has full-thickness burns over 75% of his
body. Which of the following methods is appropriate to accurately monitor
the cardiovascular system?
A. Auscultate cuff blood pressure
, b. Palpate pulse pressure
c. Obtain a central venous pressure
d. Monitor the pulmonary artery pressure
• C. Obtain a central venous pressure
4. A nurse is assessing the depth and extent of a client who has severe burns to
the face, neck, and upper extremities. Which of the following factors is the
first priority when assessing the severity of the burn?
A. Age of the client
b. Associated medical history
c. Location of the burn
d. Cause of the burn
• D. Cause of the burn
5. A client arrives at the emergency department following an explosion at a
chemical plant. He has deep partial and full-thickness chemical burns over
more than 25% of his body surface area. What is the nurse's priority
intervention?
A. Initiate fluid resuscitation
b. Medication for pain
c. Administer antibiotics
d. Maintain a patent airway
• D. Maintain a patent airway
6. A nurse is caring for a client who came to the emergency department
reporting chest pain. The provider suspects a myocardial infarction. While
, waiting for the laboratory to report the client's troponin levels, the client asks
what this blood test will show. The nurse should explain that troponin is:
a. An enzyme that indicates damage to brain, heart, and skeletal muscle
tissues
b. A protein whose levels reflect the risk for coronary artery disease
c. A heart muscle protein that appears in the bloodstream when there is
damage to the heart
d. A protein that helps transport oxygen throughout the body
• C. A heart muscle protein that appears in the bloodstream when there is
damage to the heart
7. A nurse is assessing a client who has disseminated intravascular coagulation
(DIC). Which of the following should the nurse expect in the findings?
A. Excessive thrombosis and bleeding
b. Progressive increase in platelet production
c. Immediate sodium and fluid retention
d. Increased clotting factors
• A. Excessive thrombosis and bleeding
8. A nurse is about to administer warfarin (Coumadin) to a client who has atrial
fibrillation. When the client asks what his medication will do, which of the
following is an appropriate nursing response?
A. It helps convert atrial fibrillation to sinus rhythm
b. It dissolves clots in the bloodstream
c. It slows the response of the ventricles to the fast atrial impulses
d. It prevents strokes in clients who have atrial fibrillation
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