ATI RN
ATI RN Medical Surgical 2023 Questions
Question 1 of 5
A nurse is teaching a client who has asthma about how to use a metered-dose inhaler with a spacer. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Holding the breath for 10 seconds after inhaling allows the medication to deposit effectively in the lungs, enhancing absorption. Cleaning typically involves warm water, waiting time between puffs is usually 60 seconds, and a whistling sound indicates incorrect technique.
Question 2 of 5
A nurse is planning care for a client who has a seizure disorder. Which of the following equipment should the nurse place in the client's room?
Correct Answer: C
Rationale: An oral airway prevents airway obstruction during a seizure if inserted safely post-seizure. NG tubes are unrelated, restraints increase injury risk, and tongue blades are dangerous during seizures.
Question 3 of 5
A nurse is caring for a client who has diabetic ketoacidosis secondary to an infection. Which of the following prescriptions is the highest priority?
Correct Answer: B
Rationale: Insulin reverses diabetic ketoacidosis by lowering glucose and stopping ketogenesis, addressing the life-threatening metabolic crisis. Cultures, fluids, and catheters support treatment but are secondary.
Question 4 of 5
A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?
Correct Answer: B
Rationale: Gout results from hyperuricemia, causing uric acid crystal deposition in joints. Elevated uric acid levels confirm this, unlike chloride, creatinine kinase (muscle damage), or intrinsic factor (vitamin B12 absorption).
Question 5 of 5
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?
Correct Answer: C
Rationale: Pursed-lip breathing with prolonged exhalation (not inhalation) improves gas exchange in emphysema by preventing airway collapse. Low-flow oxygen, incentive spirometry, and adequate fluids are also appropriate but less specific.