ATI RN
ATI Med Surg Pharm Comprehensive Exam 1 Questions
Question 1 of 5
A nurse is caring for a client who ingested a poison and is now experiencing a seizure. Which of the following is the priority action the nurse should take?
Correct Answer: A
Rationale: Checking the patency of the client's airway is the priority action because maintaining a clear airway is crucial during a seizure to ensure adequate oxygenation and prevent aspiration.
Question 2 of 5
A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain?
Correct Answer: B
Rationale: Renal stones (kidney stones) are a potential adverse effect of excessive calcium intake, and flank pain is a common symptom of kidney stones.
Question 3 of 5
A nurse is providing dietary teaching for a client who is Asian-American and is gazing at the floor during the instructions. Which of the following actions should the nurse take to demonstrate culturally sensitive nursing care?
Correct Answer: B
Rationale: Continuing with the discussion respects the client's cultural behavior, as some cultures view direct eye contact as disrespectful.
Question 4 of 5
A nurse is observing an assistive personnel (AP) changing the linens on the bed of a client who is immobile. Which of the following actions by the AP should the nurse identify as an indication of the need to intervene?
Correct Answer: B
Rationale: Reaching over the bed to straighten the fitted sheet can cause strain and potential injury to the AP's back and should be corrected.
Question 5 of 5
A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and who is unable to move independently. The nurse should monitor for which of the following complications of immobility?
Correct Answer: D
Rationale: A reddened area over the sacrum indicates pressure injury, a common and serious complication of immobility that requires immediate attention.