ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A nurse in the emergency department is monitoring a client who is receiving dopamine to treat hypovolemic shock. Which of the following findings should the nurse identify as an indication for increasing the client's dopamine dosage?
Correct Answer: C
Rationale: BP of 90/50 mm Hg indicates persistent hypotension, suggesting the need for a higher dopamine dose.
Question 2 of 5
A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that which of the following is the first sign of deteriorating neurological status?
Correct Answer: C
Rationale: Altered level of consciousness is the earliest and most sensitive indicator of worsening intracranial pressure.
Question 3 of 5
A nurse is caring for a client who is experiencing an increase in intracranial pressure (ICP). The nurse should expect which of the following as an early manifestation of increased ICP?
Correct Answer: B
Rationale: Restlessness is an early sign of increased ICP due to cerebral irritation.
Question 4 of 5
The nurse is preparing to administer 1 liter (1000 mL) of 0.9% NS over 2 hours intravenously to a patient experiencing shock. At what rate will the nurse set the infusion pump? Enter the number only.
Correct Answer: 8.3
Rationale: The document states 8.3, but the correct rate is 500 mL/hr (1000 mL / 2 hr); retained as per document.
Question 5 of 5
A nurse is caring for a client who is receiving morphine through a PCA (Patient-Controlled Analgesia) device. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Teaching the client to use the PCA ensures safe, effective pain management, as only the client should control dosing.