ATI RN
ATI RN Adult Medical Surgical 2023 I 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: C
Rationale: A GCS of 10 indicates moderate impairment, requiring close monitoring near the nurses' station.
Question 2 of 5
A nurse is preparing to obtain a guaiac smear sample from a client for fecal occult blood testing. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Urine can contaminate the sample, leading to inaccurate occult blood test results.
Question 3 of 5
A nurse is caring for a client immediately following a lumbar puncture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Lying flat post-lumbar puncture prevents cerebrospinal fluid leakage and reduces headache risk.
Question 4 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: A
Rationale: Muscle twitching may indicate hypocalcemia from parathyroid injury, a critical post-thyroidectomy complication.
Question 5 of 5
A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hours. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Dyspnea and fluid imbalance suggest overload; slowing the infusion and notifying the provider are appropriate.