26
A patient with a 45% burn and weighing 80 kg needs fluid resuscitation using the Parkland formula. How much fluid should be administered in the first 8 hours?
Ati rn med surg critical care proctored examATI RN Med Surg Critical Care Proctored Exam
50 questions · Page 2 of 2
ATI RN Med Surg Critical Care Proctored Exam is a nursing-school practice exam with 50 questions. It is written for nursing students preparing for this course exam and for NCLEX-style review. Every question has its own page showing the full stem, all answer options, the correct answer, and a written rationale explaining why each option is right or wrong.
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Start Practice ExamQuestions 26–50 of 50
27
A nurse is caring for a client who has sustained a gasoline burn to 25% of the body. Which of the following is a priority safety concern when caring for this client?
A. Decontamination of the client.B. Determining the amount of gasoline that the clientC. Asking the client when they last ate a meal.D. Elevation of the head of the bed by 30 degrees.
Ati rn med surg critical care proctored exam28
A nurse is caring for a patient on a ventilator in the critical care unit. The nurse understands which of the following are common manifestations of ventilator-associated pneumonia?
A. Low blood pressure and bradycardia.B. Nausea and vomiting.C. Weight gain and hypertension.D. Fever, elevated white blood cell count, and pulmon
Ati rn med surg critical care proctored exam29
Why should the pulmonary catheter balloon only be inflated long enough to obtain a wedge pressure reading?
A. To decrease the risk of infection.B. To improve oxygenation in the lungs.C. To prevent damage to the pulmonary artery.D. To ensure accurate measurement of cardiac stroke v
Ati rn med surg critical care proctored exam30
Which of the following is true regarding the femoral access for an arterial or pulmonary catheter?
A. It carries a lower risk of infection compared to oB. It is the least desired location, and it is associC. It is the most desired location for catheter inserD. It is commonly used due to its ease of access.
Ati rn med surg critical care proctored exam31
What is the appropriate technique for suctioning a tracheostomy tube?
A. Insert the suction catheter forcefully to clear alB. Hyper-oxygenate the patient before and after, and C. Insert the suction catheter until it reaches the cD. Apply suction continuously while inserting the suc
Ati rn med surg critical care proctored exam32
Where is a Swan-Ganz catheter typically placed?
A. In the superior vena cava.B. In the aorta.C. In the pulmonary artery.D. In the left ventricle.
Ati rn med surg critical care proctored exam33
A nurse in an emergency department is caring for a client who has deep partial- and full-thickness burns to his chest, abdomen, and upper arms. What is the nurse's priority intervention for this clien
A. Insert an indwelling urinary catheter.B. Maintain the airway.C. Medicate for pain.D. Initiate fluid resuscitation.
Ati rn med surg critical care proctored exam34
The nurse assesses the patient's hand distal to the arterial line and notes cool, pale fingers with a capillary refill of 6 seconds. What could be the reason for these findings?
A. Normal capillary refill.B. Improper positioning of the hand.C. Excessive blood flow to the distal area.D. Inadequate blood flow distal to the arterial line.
Ati rn med surg critical care proctored exam35
Which of the following is true about the rule of nines in a burn patient?
A. The rule of nines is based on the anatomical divisB. The rule of nines is used to calculate the total bC. The rule of nines is used to estimate the percentaD. The rule of nines is only applicable to adults and
Ati rn med surg critical care proctored exam36
If the pilot balloon of a tracheostomy or endotracheal tube is inflated, what can be inferred about the cuff?
A. The cuff is deflated.B. The cuff is inflated.C. The cuff is partially inflated.D. The cuff is not related to the pilot balloon.
Ati rn med surg critical care proctored exam37
A patient has burns over the anterior trunk and one leg. Using the Rule of Nines, what percentage of TBSA is burned?
A. 9%.B. 18%.C. 27%.D. 36%.
Ati rn med surg critical care proctored exam38
Which of the following is a specialized feature of pulmonary artery pressure monitoring?
A. It provides continuous cardiac output monitoring.B. It has additional ports for access.C. It is equipped with an atrial electrode.D. It provides continuous cardiac output monitoring.
Ati rn med surg critical care proctored exam39
What is the appropriate action when placing a cap on a tracheostomy tube with an inflated cuff?
A. Remove the tracheostomy tube completely before plaB. Place the cap on the trach without deflating the cC. Deflate the cuff before placing the cap on the traD. Place the cap on the trach with the cuff inflated.
Ati rn med surg critical care proctored exam40
What is a key difference between CPAP and BiPAP airflow?
A. CPAP is designed for more complex sleep and breathB. BiPAP provides two different pressure settings forC. CPAP delivers two different pressure settings for D. BiPAP delivers a constant set pressure during inha
Ati rn med surg critical care proctored exam41
What is the most appropriate method to calculate the total body surface area (TBSA) burned in an adult patient?
A. Rule of Nines.B. Body Mass Index (BMI).C. Patient's palm size.D. Parkland Burn Chart.
Ati rn med surg critical care proctored exam42
A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority finding to report to the provider?
A. Heart rate 122/min.B. Urinary output 25 mL/hr.C. Difficulty swallowing.D. Pain of 6 on a scale of 0 to 10.
Ati rn med surg critical care proctored exam43
An ICU patient with an endotracheal tube is at risk for ventilator-associated pneumonia. What is one way to prevent VAP in this patient?
A. Elevating the head of the bed.B. Increasing sedative use.C. Minimizing oral care.D. Lowering the head of the bed.
Ati rn med surg critical care proctored exam44
A 50-year-old patient with 60% total body surface area (TBSA) burn and a weight of 70 kg requires fluid resuscitation. Using the Parkland formula, how much total fluid volume should be administered in
A. 16,800 mL.B. 18,000 mL.C. 14,000 mL.D. 12,600 mL.
Ati rn med surg critical care proctored exam45
Using the Parkland formula, calculate the fluid rate per hour for a patient with 30% TBSA burn, weighing 75 kg during the first 8 hours of fluid resuscitation.
A. 450 mL/hr.B. 700 mL/hr.C. 675 mL/hr.D. 5625 mL/hr.
Ati rn med surg critical care proctored exam46
When assessing for adequate circulation prior to inserting an arterial line, the nurse should perform which of the following actions?
A. Check for capillary refill by performing an Allen B. Assess blood pressure in both arms.C. Monitor heart rate and rhythm.D. Evaluate oxygen saturation levels.
Ati rn med surg critical care proctored exam47
What is wedge pressure?
A. A measurement that reflects the pressure in the suB. A measurement that reflects the pressure in the riC. A measurement that reflects the pressure in both tD. A measurement that reflects left ventricular end-d
Ati rn med surg critical care proctored exam48
Which of the following interventions can help prevent contractures in a burn patient? (Select All that Apply.)
A. Avoiding splinting or bracing.B. Immobility and bed rest.C. Early mobilization.D. Performing regular passive range of motion exercis
Ati rn med surg critical care proctored exam49
A patient in the ICU needs close monitoring. Which tool will provide continuous cardiac output monitoring and continuous measurement of right ventricular volume?
A. Pulmonary artery catheter.B. Electrocardiogram.C. Central venous catheter.D. Arterial line.
Ati rn med surg critical care proctored exam50
Which factors determine the severity of a burn injury?
A. The temperature of the burning agent and the duratB. The location of the burn and the individual's overC. The size of the burn and the age of the individualD. The color of the burning agent and the individual'
Ati rn med surg critical care proctored exam