ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Question 1 of 5
A client with a spinal cord injury is at risk for experiencing autonomic dysreflexia. The nurse would carefully monitor the client for which of the following manifestations?
Correct Answer: A
Rationale: Severe headache is a primary sign of autonomic dysreflexia due to sudden hypertension from unopposed sympathetic response.
Question 2 of 5
A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?
Correct Answer: D
Rationale: Symptoms suggest TB, necessitating a private room for airborne isolation.
Question 3 of 5
A nurse is reinforcing teaching with a client who has osteoporosis and is prescribed (Fosamax) alendronate 70 mg PO weekly. Which of the following statements by the client indicates a need for further instruction?
Correct Answer: B
Rationale: Milk interferes with alendronate absorption; water is required, indicating a teaching gap.
Question 4 of 5
A nurse is caring for a client who has acute heart failure and received morphine intravenously 30 minutes ago. Which of the following findings should the nurse identify as an indication that the medication was effective?
Correct Answer: C
Rationale: Morphine reduces anxiety and preload in heart failure, improving comfort and breathing.
Question 5 of 5
A nurse on a medical-surgical unit is planning care for a client who has dementia and a history of wandering. Which of the following actions should the nurse plan to implement?
Correct Answer: B
Rationale: A bed alarm alerts staff to wandering, enhancing safety without restraint.