ATI RN
ATI RN Adult Medical Surgical 2023 V 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: C
Rationale: Nuchal rigidity is a classic sign of meningitis, assessed by resistance or pain when flexing the neck, indicating meningeal irritation.
Question 2 of 5
A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Lowering the client to the floor prevents injury from falling, the priority during a seizure.
Question 3 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 the client is no longer infectious with tuberculosis.
Question 4 of 5
A nurse is assessing a client who has skeletal traction for a femoral fracture. The nurse notes that the weights are resting on the floor. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Elevating the extremity ensures weights hang freely, maintaining traction alignment.
Question 5 of 5
A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?
Correct Answer: B
Rationale: Gout is caused by hyperuricemia, so elevated uric acid levels are expected in acute gout.