ATI RN
ATI Med Surg Npro 2000 Exam Questions
Extract:
Question 1 of 5
A client diagnosed with major depressive disorder with psychotic features hears voices commanding self-harm. The client refuses to commit to developing a plan for safety. What should be the nurse's priority intervention at this time?
Correct Answer: C
Rationale: One-to-one observation ensures immediate safety for a client with active psychotic self-harm commands, preventing harm.
Question 2 of 5
The family of a client, stung by a bee, has rushed the client to the emergency room. The client is experiencing hives and redness at the site. Upon arrival, the client states, 'I feel a lump in my throat, and I am sweating. I can't breathe! I think I am going to die.' The nurse anticipates which emergency treatment next?
Correct Answer: B
Rationale: Epinephrine is the first-line treatment for anaphylaxis, rapidly reversing symptoms like throat swelling and breathing difficulty.
Question 3 of 5
A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?
Correct Answer: D
Rationale: Measuring head circumference is unnecessary in a 6-year-old with fused skull bones, unlike in infants with meningitis.
Question 4 of 5
When caring for an unconscious client with increasing intracranial pressure, the nursing intervention that is contraindicated is:
Correct Answer: D
Rationale: Routine oropharyngeal suctioning can increase intracranial pressure by stimulating the vagus nerve, making it contraindicated.
Question 5 of 5
A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Spironolactone, a potassium-sparing diuretic, causes hyponatremia by increasing sodium excretion.