ATI RN
Adult Medical Surgical ATI Questions
Question 1 of 5
A client is vomiting. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct action for the nurse to take first is to prevent the client from aspirating. Aspiration is a serious risk when a client is vomiting as it can lead to respiratory complications. The nurse should position the client on their side to prevent aspiration of vomitus into the airway. This immediate action takes priority over providing an emesis basin, notifying housekeeping, or administering an antiemetic, which do not address the urgent need to prevent aspiration.
Question 2 of 5
A healthcare provider is preparing to admit a client to the PACU who received a competitive neuromuscular blocking agent. Which of the following items should the provider place at the client's bedside?
Correct Answer: A
Rationale: The correct answer is A: Bag valve mask device. In the PACU, a client who received a competitive neuromuscular blocking agent may have impaired respiratory function. Placing a bag valve mask device at the bedside is crucial for providing immediate respiratory support if needed. This device allows manual ventilation in case of respiratory distress. Summary: - Choice B: Defibrillator machine is not necessary for a client receiving a competitive neuromuscular blocking agent. - Choice C: Chest tube equipment is not typically needed for this situation. - Choice D: Central venous catheter tray is not directly related to the respiratory support required for a client with impaired respiratory function.
Question 3 of 5
A client with tuberculosis is starting medication therapy with isoniazid, rifampin, and pyrazinamide. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Rationale: Taking pyrazinamide on an empty stomach can cause stomach upset. Drinking water helps prevent this. A: Isoniazid should be taken on an empty stomach, not with an antacid. B: Sputum specimens are usually collected at the beginning of treatment, not every 2 weeks. C: Negative sputum cultures might not be achieved until later in treatment, not after 6 months.
Question 4 of 5
A client had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?
Correct Answer: A
Rationale: The correct answer is A: Poor impulse control. When a client has a stroke involving the right cerebral hemisphere, it can affect their ability to regulate emotions and impulses. The right hemisphere is responsible for inhibiting impulsive behavior, so damage to this area can lead to poor impulse control. This can manifest as impulsivity, lack of judgement, and difficulty controlling emotions. Summary of Incorrect Choices: B: Inability to discriminate words and letters - This is typically associated with left cerebral hemisphere damage, not right hemisphere. C: Deficits in the right visual field - This is associated with damage to the left occipital lobe, not the right hemisphere. D: Motor retardation - Motor functions are controlled by the opposite side of the brain, so right hemisphere damage would typically affect the left side of the body, not motor function in general.
Question 5 of 5
When teaching a client with chronic obstructive pulmonary disease who will start using fluticasone via MDI twice daily, which instruction should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Inspect your mouth for lesions daily. This instruction is essential because fluticasone, a corticosteroid, can cause oral thrush as a side effect. By inspecting the mouth daily, the client can detect any lesions early and seek appropriate treatment. Monitoring heart rate (A) is not necessary for fluticasone use, as it does not typically affect heart rate. While it is important not to skip doses (D), the specific instruction about the morning dose is not as crucial. Avoiding the use of fluticasone for acute attacks (C) is correct, but it is not the most important instruction in this scenario.