ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse enters a client's room and observes the client having a tonic-clonic seizure. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Turning the client on their side is the first action to maintain airway patency and prevent aspiration during a tonic-clonic seizure.
Question 2 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 3 of 5
A nurse is planning care for a client who has a new diagnosis of acute pancreatitis. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Maintaining NPO status rests the pancreas and reduces stimulation in acute pancreatitis.
Question 4 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following nursing actions are appropriate? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Monitoring glucose, verifying the solution, and weighing daily are appropriate TPN actions to ensure safety and efficacy.
Extract:
Nurses' Notes
0900:
Client came to the ED this morning and reports not feeling well for the last 12 hr and increasing blood glucose. Client has a history of type 1 diabetes mellitus and hypertension. Client weight is 88 kg (194 lb). The client was recently treated for bronchitis and pneumonia. Client reports nausea and decreased appetite.
Client is alert and orientated x 4, heart and lung sounds are clear. Client states that they have been frequently urinating and are extremely thirsty. Bowel sounds are hyperactive in all 4 quadrants, Bilateral pedal pulses 1+. Slight tenting of skin. Peripheral IV established and labs drawn. A nurse is caring for a client in the emergency department.
Question 5 of 5
A nurse is caring for a client in the emergency department. The nurse understands that the client is at risk of developing which of the following complications? Select all that apply.
Correct Answer: C,D,E,F
Rationale: High blood glucose and dehydration in type 1 diabetes can lead to hypotension, arrhythmias, renal failure, and cerebral edema.