ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
A client has a prescription for seizure precaution. Which intervention should the nurse include in the plan of care?
Correct Answer: B
Rationale: Keeping seizure medication at the bedside ensures immediate access to control seizures, a critical precaution for safety.
Question 2 of 5
A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Turning the head to the side protects the airway by preventing aspiration during a tonic-clonic seizure, making it the priority action.
Question 3 of 5
A nurse is calculating the output of a client at the end of the shift. The nurse notes the following: the client voided 400 mL at 1100 and 350 mL at 1430. The closed chest drainage system was previously marked at 155 mL and is now at 175 mL. The NG tube has 575 mL in the drainage container, and 25 mL is emptied out of the Jackson-Pratt drainage tube. How many mL should the nurse record in the medical record as the client's output?
Correct Answer: 1370 mL
Rationale:
Total output is calculated as: 400 mL (urine) + 350 mL (urine) + 20 mL (chest drainage) + 575 mL (NG tube) + 25 mL (Jackson-Pratt) = 1370 mL.
Question 4 of 5
A nurse on a medical-surgical unit is planning to delegate tasks to an adult volunteer. Which of the following tasks should the charge nurse avoid assigning to the volunteer?
Correct Answer: B
Rationale: Observing confused postoperative clients requires clinical judgment to detect changes, unsuitable for volunteers lacking training.
Question 5 of 5
What is the nurse's primary consideration when caring for a client with rheumatoid arthritis?
Correct Answer: A
Rationale: Pain is the most debilitating symptom of rheumatoid arthritis, impacting quality of life. Ensuring comfort through pain management, rest, and a supportive environment is the nurse's primary focus.