ATI Advanced MED SURG Proctored 2023 WITH Glasgow COMA Scale REAL EXAM / RN ATI Adult Med Surg Proctored Exam with NGN 2024 | Real Exam Questions and Answers | Latest Ed After receiving change -of-shift report, which of these patients should the nurse assess first? - CORRECT ANSWER -A patient with smoke inhalation who has wheezes and altered mental status The RN observes all of the following actions begin taken by a staff nurse who has floated to the unit. Which action requires that the RN intervene? - CORRECT ANSWER -The nurse uses latex gloves when applying antibacterial cream to a burn wound A client with cervical neck fracture is admitted to the intensive care unit. Which findings would the nurse recognize as indicative of spinal shock? - CORRECT ANSWER -Flaccidity and lack of sensation below the level of spinal cord lesion. A client with T6 spinal cord injury is being discharged. The PT is concerned about autonomic dysreflexia. S/S include the following - CORRECT ANSWER -Diaphoresis above the level of the lesion 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 - CORRECT ANSWER -
"large incisions will be made in the eschar to improve circulation " A nurse is caring for a client who has full -thickness burns all over 75% of his body. Which of the following methods is appropriate to accurately monitor the cardiovascular system? - CORRECT ANSWER -obtain a central venous pressure 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? - CORRECT ANSWER -Cause of the burn A client arrives at the emergency dept following an explosion at the 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? - CORRECT ANSWER -Maintain a patent airway A nurse is caring for a client who came the emergency dept 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 - CORRECT ANSWER -A heart muscle protein that appears in the bloodstream when there is damage to the heart
"large incisions will be made in the eschar to improve circulation " A nurse is caring for a client who has full -thickness burns all over 75% of his body. Which of the following methods is appropriate to accurately monitor the cardiovascular system? - CORRECT ANSWER -obtain a central venous pressure 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? - CORRECT ANSWER -Cause of the burn A client arrives at the emergency dept following an explosion at the 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? - CORRECT ANSWER -Maintain a patent airway A nurse is caring for a client who came the emergency dept 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 - CORRECT ANSWER -A heart muscle protein that appears in the bloodstream when there is damage to the heart
