ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A client who is deaf and communicates using sign language is being admitted by a nurse who does not know sign language. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: An interpreter ensures accurate communication during the admission process.
Question 2 of 5
A nurse is caring for a female client who had a stroke. Which of the following findings should indicate to the nurse that the client has an increased risk of developing skin breakdown?
Correct Answer: D
Rationale: Low albumin levels indicate poor nutrition, increasing the risk of skin breakdown.
Question 3 of 5
A nurse is caring for a client who is receiving mechanical ventilation when the low-pressure alarm sounds on the ventilator. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A low-pressure alarm often indicates a cuff leak, requiring evaluation.
Question 4 of 5
A nurse is caring for a client who has left-sided heart failure. Which of the following findings should indicate to the nurse that the client is experiencing a decrease in cardiac output?
Correct Answer: D
Rationale: Dyspnea indicates decreased cardiac output due to pulmonary congestion in left-sided heart failure.
Question 5 of 5
A nurse is performing a cranial nerve assessment on a client following a head injury. Which of the following findings should the nurse expect if the client has impaired function of the vestibulocochlear nerve (cranial nerve VIII)?
Correct Answer: C
Rationale: The vestibulocochlear nerve (cranial nerve VIII) is responsible for balance and hearing; impaired function leads to disequilibrium with movement.