ATI RN
ATI Detailed Answer Key Medical Surgical Questions
Question 1 of 5
For a client who has sustained recent blindness, which task(s) would be appropriate to delegate to the nursing assistant? (Choose all that apply.)
Correct Answer: B
Rationale: Assisting with mobility is within the scope of practice for nursing assistants and ensures safety for the client.
Question 2 of 5
While teaching a client about their medications, the client asks how long it will take before the effects of lithium take place. What is the best response of the nurse?
Correct Answer: C
Rationale: Lithium typically takes 2 weeks to show therapeutic effects.
Question 3 of 5
The patient will be placed under moderate sedation to allow realignment of a fracture in the emergency department. When the family asks about this anesthesia, what should the nurse tell them?
Correct Answer: D
Rationale: Moderate sedation keeps patients responsive and maintains spontaneous breathing.
Question 4 of 5
A physician is monitoring intravenous fluids for someone who is currently being treated for metabolic acidosis. The physician monitors his signs and symptoms typical of metabolic acidosis which include:
Correct Answer: B
Rationale: The correct answer is Hypotension, altered heart rate, elevated respiratory rate, and muscle weakness (B). Metabolic acidosis causes the body to compensate by increasing respiratory rate to blow off CO2, leading to hyperventilation. Other symptoms include hypotension, altered heart rate, and muscle weakness due to electrolyte imbalances.
Question 5 of 5
While caring for a client with extensive partial and full-thickness burns of the head, neck, and chest, which risk should the nurse prioritize for assessment and intervention?
Correct Answer: A
Rationale: The correct answer is A: Airway obstruction. This should be prioritized because burns to the head, neck, and chest can lead to swelling and inflammation, potentially compromising the airway. Maintaining a clear airway is crucial for oxygenation and ventilation. If the airway becomes obstructed, it can quickly lead to respiratory distress or failure. Assessing for signs of airway compromise and intervening promptly is essential to prevent serious complications. Choices B, C, and D are incorrect because while infection, fluid imbalance, and paralytic ileus are also important considerations in burn care, they are not as immediately life-threatening as airway obstruction in this case. Infection can be managed with appropriate wound care, fluid imbalance can be addressed with fluid resuscitation, and paralytic ileus can be treated with medications and bowel management strategies.