ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Question 1 of 5
A nurse is caring for a client who has active tuberculosis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Ensuring the door to the client's room is closed at all times is a critical measure in preventing the spread of TB. This action helps to contain the airborne bacteria within the room, reducing the risk of transmission to others in the healthcare facility. This is part of airborne precautions, which are essential for managing patients with active TB.
Question 2 of 5
A nurse is monitoring a client who has a traumatic brain injury and a ventriculostomy drain. The nurse should report which of the following findings as a complication of this therapeutic procedure? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Infection is a significant risk with ventriculostomy drains due to the invasive nature of the procedure. Vomiting and widening pulse pressure can indicate increased intracranial pressure, a serious complication requiring immediate attention. Equal pupils and normal ICP readings are not complications.
Question 3 of 5
A nurse is assessing a client who has had a left-hemisphere stroke. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Expressive aphasia is common in left-hemisphere strokes, affecting speech production due to damage in language centers.
Question 4 of 5
A nurse is caring for a client who is postoperative immediately following a pheochromocytoma removal. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Monitoring blood pressure is critical post-pheochromocytoma removal due to potential hemodynamic instability from catecholamine fluctuations.
Question 5 of 5
A nurse is assessing a client who has a heart rate of 40/min. The client is diaphoretic and has chest pain. Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: Atropine is the first-line medication for treating symptomatic bradycardia. It increases heart rate by blocking vagal effects, appropriate for a client with a heart rate of 40/min, diaphoresis, and chest pain.