ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli, the client does not open their eyes, displays decerebrate posturing, and makes incomprehensible sounds. The nurse should assign the client which of the following Glasgow Coma Scale scores?
Correct Answer: D
Rationale: Glasgow Coma Scale: No eye opening (1), decerebrate posturing (abnormal extension, 2), incomprehensible sounds (2) = 1+2+2 = 5, reflecting severe neurological impairment.
Question 2 of 5
A nurse manager is providing an in-service to a group of newly licensed nurses about the use of personal protective equipment. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Goggles protect against splashes during wound irrigation, a correct PPE use. Recapping needles risks injury, sterile gloves aren't needed for IM injections, and gowns are unnecessary for routine linen changes.
Question 3 of 5
A nurse is caring for a client who is experiencing an acute asthma attack. Which of the following should the nurse identify as a contributing factor to the client's manifestations?
Correct Answer: D
Rationale: Asthma attacks involve bronchoconstriction and inflammation, trapping air and preventing CO2 exhalation, leading to hypercapnia. Elasticity loss is chronic, allergen response is heightened, and inflammation is active, not suppressed.
Question 4 of 5
A nurse is caring for a client who is using a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Turning off the CPM machine during eating prevents discomfort and ensures safety, allowing the client to focus on nutrition. Settings need more frequent checks, range increases gradually, and storage on the floor risks contamination.
Question 5 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.