ATI RN
ATI RN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
A nurse in the emergency department is evaluating a young adult client for bacterial meningitis. Which of the following actions should the nurse take as part of the focused assessment?
Correct Answer: A
Rationale: Nuchal rigidity is a hallmark sign of bacterial meningitis, assessed by checking neck stiffness.
Question 2 of 5
A nurse on a medical-surgical unit is planning care for a client who has dementia and a history of wandering. Which of the following actions should the nurse plan to implement?
Correct Answer: C
Rationale: A bed alarm alerts staff to wandering attempts, enhancing safety for a client with dementia.
Question 3 of 5
A nurse is admitting a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Photophobia is a common symptom of meningitis due to meningeal irritation affecting the eyes.
Question 4 of 5
A nurse is assessing a client who has heart failure and a new prescription for metoprolol. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: A
Rationale: Metoprolol, a beta-blocker, can cause bradycardia (heart rate <60/min) as an adverse effect.
Question 5 of 5
A nurse is caring for a client who has been prescribed an antibiotic. The client tells the nurse, 'I don't like taking medications because I don't think I need them.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Informing the provider respects the client's autonomy and ensures the care plan is adjusted accordingly.