ATI RN
ATI RN Medical Surgical 2023 Questions
Question 1 of 5
A nurse in the emergency department is monitoring a client who is receiving dopamine to treat hypovolemic shock. Which of the following findings should the nurse identify as an indication for increasing the client's dopamine dosage?
Correct Answer: D
Rationale: Dopamine is used to treat hypovolemic shock by increasing blood pressure through vasoconstriction and improved cardiac output. A blood pressure of 90/50 mm Hg indicates hypotension, suggesting the current dose is insufficient, necessitating an increase.
Question 2 of 5
A nurse is caring for a client who is postoperative following a complete thyroidectomy. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Muscle twitching post-thyroidectomy may indicate hypocalcemia due to parathyroid gland damage, leading to tetany or laryngospasm, which are life-threatening. This is a priority over common postoperative findings like drainage, pain, or nausea.
Question 3 of 5
A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Petechiae indicate thrombocytopenia, common in leukemia, increasing bleeding risk. Bleeding precautions (e.g., avoiding invasive procedures, using soft brushes) are essential to prevent hemorrhage, unlike the other options, which are irrelevant to this finding.
Question 4 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 5 of 5
A nurse is assessing a client who has heart failure and a new prescription for metoprolol. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: C
Rationale: Metoprolol, a beta-blocker, slows heart rate. A heart rate of 48/min indicates bradycardia, a common adverse effect requiring monitoring or dose adjustment, unlike the other findings, which are not directly related to metoprolol.