ATI RN
ATI RN Medical Surgical 2023 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 (neck stiffness) is a key sign of meningitis due to meningeal irritation, assessed by head elevation. Other tests evaluate reflexes or neurological signs unrelated to meningitis.
Question 2 of 5
A nurse is caring for a client who has skeletal traction applied to the left leg. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A trapeze bar aids mobility and repositioning, reducing complications in traction. Pressure points need more frequent checks, elbow repositioning risks misalignment, and removing weights disrupts traction.
Question 3 of 5
A PACU nurse is monitoring the drainage from a client's NG tube following abdominal surgery. Which of the following findings in the first postoperative hour should the nurse report to the provider?
Correct Answer: C
Rationale: Red drainage suggests active bleeding, requiring immediate reporting post-abdominal surgery. Serosanguineous, brown, or greenish drainage is expected initially, but bright red indicates a potential complication.
Question 4 of 5
A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Correct Answer: C
Rationale: Cloudy effluent is the earliest sign of peritonitis in peritoneal dialysis, indicating infection before systemic symptoms like pain, fever, or tachycardia develop, allowing prompt intervention.
Question 5 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: Weights resting on the floor indicate insufficient traction. Removing a weight temporarily allows repositioning to restore proper traction force. Pulling the client, elevating the extremity, or tying knots disrupts alignment or traction efficacy.