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.
Extract:
Vital Signs
Diagnostic Results
Physical Examination
Medical History
Blood pressure 106/64 mm Hg
Heart rate 95/min
Respiratory rate 20/min
Temperature 37.8° C (100° F)
Oxygen saturation 95% on O2 at 3 L/min via nasal cannula
Question 2 of 5
A nurse is caring for an older adult client who was admitted with a urinary tract infection. The nurse is assessing the client 12 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.
| Findings 12 hr later | Unrelated to diagnosis | Indication of potential improvement | Indication of potential worsening of condition |
|---|---|---|---|
| Oxygen saturation 96% at 2 L/min via nasal cannula | |||
| Disoriented to person, place, and time | |||
| Blood pressure 100/50 mm Hg | |||
| Hct 45% | |||
| Pink-tinged urine | |||
| Butterfly rash |
Correct Answer:
Rationale: Specific answers not provided; A likely indicates improvement, B and C suggest worsening.
Extract:
Question 3 of 5
A nurse on the medical-surgical unit is caring for a client who has a seizure disorder. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Padding side rails prevents injury during seizures; tongue blades are not recommended.
Question 4 of 5
A nurse is asking a preoperative client about food allergies. Which of the following food allergies indicates a potential reaction to propofol?
Correct Answer: B
Rationale: Propofol contains egg lecithin, posing a risk for clients with egg allergies.
Question 5 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.