ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A charge nurse on a neurological unit is making room assignments for a group of clients. Which of the following clients should the nurse assign to the room closest to the nurses' station?
Correct Answer: D
Rationale: A Glasgow Coma Scale score of 10 indicates altered consciousness, requiring close monitoring for deterioration. A mild concussion, brain death, or resolved TIA are less acute, needing less immediate oversight.
Question 2 of 5
A nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that the client is discharged with which of the following types of pharmacologic therapy?
Correct Answer: D
Rationale: Antithrombotic therapy (e.g., aspirin) prevents recurrent ischemic strokes by reducing clot formation. Diuretics, anticonvulsants, or opioids are not routinely indicated unless specific complications like edema, seizures, or pain are present.
Question 3 of 5
A nurse is caring for a client who has oral achalasia. The nurse should ask the client which of the following questions to assess their ability to swallow?
Correct Answer: D
Rationale: Achalasia involves esophageal motility issues, often causing a sensation of food stuck at the throat base due to lower esophageal sphincter dysfunction. Burning, fullness, or pain are less specific to achalasia's swallowing difficulties.
Question 4 of 5
A nurse is planning care for a client who is postoperative following insertion of an arteriovenous graft in their left forearm. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Checking the distal pulse ensures graft patency and adequate circulation. Keeping the arm elevated reduces swelling, blood draws from the graft risk damage, and splinting is unnecessary unless mobility is impaired.
Question 5 of 5
A nurse is assessing a client who has type 1 diabetes mellitus. The client is diaphoretic, has a heart rate of 92/min, and reports palpitations. The client states, 'I went for my morning run and feel exhausted.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Diaphoresis, palpitations, and exhaustion suggest hypoglycemia, common in type 1 diabetes if insulin isn't reduced before exercise, which increases glucose uptake. Other responses dismiss or misattribute the symptoms.