ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse enters a client's room and discovers the client's abdominal incision is open with the large intestine protruding through the opening. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Covering a dehiscence with saline-soaked gauze prevents tissue drying and infection, the first priority. Notifying the team, adjusting the bed, or preparing for surgery follow after stabilizing the wound.
Question 2 of 5
A nurse is assessing a client who sustained major full-thickness burns to their lower legs 12 hr ago. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Full-thickness burns destroy all skin layers, causing significant edema within hours due to vascular permeability. Blistering occurs in partial-thickness burns, epithelialization is later in healing, and severe pain is less likely due to nerve damage.
Question 3 of 5
A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?
Correct Answer: D
Rationale: Furosemide reduces fluid overload in pulmonary edema, leading to weight loss from diuresis. A 1.8 kg loss indicates effective fluid removal, unlike persistent high respiratory rate, adventitious sounds, or elevated blood pressure, which suggest ongoing edema.
Question 4 of 5
A nurse is preparing to administer ceftazidime 2 g via intermittent IV over 30 min to a client who has osteomyelitis. The amount available is ceftazidime 2 g/50 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: C
Rationale:
To deliver 50 mL over 30 min, calculate: (50 mL / 0.5 hr) = 100 mL/hr, matching the required infusion rate for ceftazidime administration.
Question 5 of 5
A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of the following findings should the nurse include as an indication the client is no longer infectious?
Correct Answer: A
Rationale: Negative sputum cultures confirm no active TB bacteria, indicating non-infectiousness. Skin tests assess exposure, hemoptysis isn't a reliable indicator, and Quantiferon tests don't confirm active infection status.