ATI RN Medical Surgical 2023 | Nurselytic

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ATI RN Medical Surgical 2023 Questions

Question 1 of 5

A nurse is caring for a client who is experiencing an increase in intracranial pressure (ICP). The nurse should expect which of the following as an early manifestation of increased ICP?

Correct Answer: B

Rationale: Restlessness is an early sign of increased ICP due to cerebral irritation, preceding more severe signs like posturing, vomiting, or papilledema, which indicate advanced neurological compromise.

Question 2 of 5

A nurse working in the emergency department is admitting a client who has pertussis. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Pertussis is droplet-spread; a surgical mask protects during close contact. Mantoux tests TB, negative-pressure rooms are for airborne diseases, and antivirals don't treat bacterial pertussis.

Question 3 of 5

A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make?

Correct Answer: A

Rationale: The rise and fall (tidaling) in the water-seal chamber reflect intrapleural pressure changes during breathing, a normal finding. An air leak causes bubbling, full re-expansion stops tidaling, and high suction affects the suction chamber, not water-seal.

Question 4 of 5

A nurse is caring for a client who has skeletal traction applied to the left leg. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: A trapeze bar aids mobility and repositioning, reducing complications in traction. Pressure points need more frequent checks, elbow repositioning risks misalignment, and removing weights disrupts traction.

Question 5 of 5

A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?

Correct Answer: C

Rationale: Cloudy effluent is the earliest sign of peritonitis in peritoneal dialysis, indicating infection before systemic symptoms like pain, fever, or tachycardia develop, allowing prompt intervention.

Similar Questions

A nurse is preparing to administer ceftazidime 2 g via intermittent IV over 30 min to a client who has osteomyelitis. The amount available is ceftazidime 2 g/50 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
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?
A nurse is caring for a client who has emphysema. Which of the following interventions should the nurse include in the client's plan of care?
A nurse is assessing a client who is 4 hr postoperative following arterial revascularization of the left femoral artery. Which of the following findings should the nurse report to the provider immediately?
A nurse is caring for a group of clients who are 12 hr postoperative. The nurse should identify that the client who had which of the following procedures is at risk for developing fat embolism syndrome?

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