ATI
ATI Med-Surg
Proctored Exam
PRACTICE Questions
with Answers (CH 2-10)
GRADED A
100%
,CHAPTER 2
1. What are the five level system of triage?
a. Level 1: Resuscitation
b. Level 2: Emergent
c. Level 3: Urgent
d. Level 4: Less urgent
e. Level 5: Nonurgent
2. Resuscitation requires what?
a. Immediate treatment to prevent death
3. What is required for nonurgent triage (level 5)?
a. Non life threatening condition requiring simple evaluation and care
management
4. What is the standard precaution for primary survey during triage?
a. Gloves
b. Gowns
c. Eye protection
d. Face masks
e. Shoe covers
f. ABCDE guides the primary survey
5. What is the ABCDE principle?
a. Airway/Cervical Spine brain injury/death = 3-5 min. if airway not
patent.
b. Breathing assess presence & effectiveness of breathing.
c. Circulation
d. Disability
e. Exposure
6. How to implement airway for patients who is unresponsive without
suspicious of trauma?
a. Airway opened head tilt, chin lift maneuver
7. How to implement airway for patients who is unresponsive WITH
suspicious trauma?
a. Airway opened modified jaw thrust maneuver
8. How is the modified jaw thrust maneuver performed?
a. Nurse place both hands on either side of the client’s head. Locate the
connection between maxilla and mandible. Lift the jaw superiorly
while maintaining alignment of the cervical spine.
, 9. During triage, what mask is given to patient who are spontaneously
breathing?
a. Non-breather mask with 100% O2 source
10.What does the breathing assessment include?
a. Auscultation of breath sounds
b. Observation of chest expansion and respiratory effort
c. Notation of rate and depth of respiration
d. Identification of chest trauma
e. Assessment of tracheal position
f. Assessment of JVD
11.How to assess for circulation?
a. Nurse assess HR, BP, peripheral pulses, and capillary refill for
adequate perfusion.
12.What are the precursor to shock that nurses need to be aware of?
a. Cardiac arrest
b. Myocardial dysfunction
c. Hemorrhage
13.What are some interventions that is geared toward restoring effective
circulation?
a. CPR
b. Assess for external bleeding.
c. Hemorrhage control
d. Obtain IV access using large-bore IV catheters inserted into the
antecubital fossa of both arms, unless there is obvious injury to the
extremity.
e. Infuse isotonic IV fluids such as Lactated Ringer’s & 0.9% NaCl &/or
Blood products.
14.What is shock?
a. Body response to inadequate tissue perfusion and oxygenation. It
manifests with an increase HR, hypotension and result in tissue
ischemia and necrosis.
15.What are some intervention that can alleviate shock?
a. Administer oxygen
b. Apply pressure to obvious bleeding
c. Elevate lower extremities to shunt blood to vital organs
d. Administer IV fluids and blood products
e. Monitor VS
f. Remain with client and provide reassurance and support for anxiety.
16.What is the D portion of the ABCDE protocol during triage?
a. Disability quick assessment to determine clients LOC
ATI Med-Surg
Proctored Exam
PRACTICE Questions
with Answers (CH 2-10)
GRADED A
100%
,CHAPTER 2
1. What are the five level system of triage?
a. Level 1: Resuscitation
b. Level 2: Emergent
c. Level 3: Urgent
d. Level 4: Less urgent
e. Level 5: Nonurgent
2. Resuscitation requires what?
a. Immediate treatment to prevent death
3. What is required for nonurgent triage (level 5)?
a. Non life threatening condition requiring simple evaluation and care
management
4. What is the standard precaution for primary survey during triage?
a. Gloves
b. Gowns
c. Eye protection
d. Face masks
e. Shoe covers
f. ABCDE guides the primary survey
5. What is the ABCDE principle?
a. Airway/Cervical Spine brain injury/death = 3-5 min. if airway not
patent.
b. Breathing assess presence & effectiveness of breathing.
c. Circulation
d. Disability
e. Exposure
6. How to implement airway for patients who is unresponsive without
suspicious of trauma?
a. Airway opened head tilt, chin lift maneuver
7. How to implement airway for patients who is unresponsive WITH
suspicious trauma?
a. Airway opened modified jaw thrust maneuver
8. How is the modified jaw thrust maneuver performed?
a. Nurse place both hands on either side of the client’s head. Locate the
connection between maxilla and mandible. Lift the jaw superiorly
while maintaining alignment of the cervical spine.
, 9. During triage, what mask is given to patient who are spontaneously
breathing?
a. Non-breather mask with 100% O2 source
10.What does the breathing assessment include?
a. Auscultation of breath sounds
b. Observation of chest expansion and respiratory effort
c. Notation of rate and depth of respiration
d. Identification of chest trauma
e. Assessment of tracheal position
f. Assessment of JVD
11.How to assess for circulation?
a. Nurse assess HR, BP, peripheral pulses, and capillary refill for
adequate perfusion.
12.What are the precursor to shock that nurses need to be aware of?
a. Cardiac arrest
b. Myocardial dysfunction
c. Hemorrhage
13.What are some interventions that is geared toward restoring effective
circulation?
a. CPR
b. Assess for external bleeding.
c. Hemorrhage control
d. Obtain IV access using large-bore IV catheters inserted into the
antecubital fossa of both arms, unless there is obvious injury to the
extremity.
e. Infuse isotonic IV fluids such as Lactated Ringer’s & 0.9% NaCl &/or
Blood products.
14.What is shock?
a. Body response to inadequate tissue perfusion and oxygenation. It
manifests with an increase HR, hypotension and result in tissue
ischemia and necrosis.
15.What are some intervention that can alleviate shock?
a. Administer oxygen
b. Apply pressure to obvious bleeding
c. Elevate lower extremities to shunt blood to vital organs
d. Administer IV fluids and blood products
e. Monitor VS
f. Remain with client and provide reassurance and support for anxiety.
16.What is the D portion of the ABCDE protocol during triage?
a. Disability quick assessment to determine clients LOC
