ATI RN
ATI RN Adult Med-Surg 2023 Questions
Extract:
Question 1 of 5
A nurse in the emergency department is managing the care of a client who has an electrical shock injury. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Electrical shock injuries can cause cardiac arrhythmias, making an ECG the priority to assess heart function.
Question 2 of 5
A nurse is assessing a client who is postoperative following a transurethral resection of the prostate and is receiving continuous bladder irrigation. The client reports bladder spasms, and the nurse notes a scant amount of fluid in the urinary drainage bag. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Bladder spasms and scant drainage suggest a blockage; irrigating with 0.9% sodium chloride clears the catheter.
Question 3 of 5
A nurse is assessing a client who has a urinary catheter. The nurse notes the client's IV tubing is kinked and the urinary catheter bag is lying next to the client in bed. The nurse should identify that the client is at risk for which of the following conditions?
Correct Answer: B
Rationale: A catheter bag next to the client increases infection risk due to potential urine backflow and contamination.
Question 4 of 5
A nurse is caring for a client who is postoperative following an endoscopy with moderate (conscious) sedation. Which of the following assessment findings is the nurse's priority?
Correct Answer: D
Rationale: Post-sedation, assessing the gag reflex is critical to ensure airway protection before oral intake.
Question 5 of 5
A nurse is providing instructions to a client who has primary syphilis. Which of the following instructions should the nurse include in the discharge plan?
Correct Answer: C
Rationale: Syphilis requires follow-up blood tests to monitor treatment efficacy over time.