ATI RN
ATI RN Adult Medical Surgical 2023 IV Questions
Extract:
Question 1 of 5
A nurse in the PACU is caring for a client. Which of the following assessments is the nurse's priority?
Correct Answer: C
Rationale: Respiratory status (
C) is critical in PACU to ensure airway patency and oxygenation post-anesthesia. Consciousness (
A), pain (
B), and surgical site (
D) are assessed but are secondary to breathing.
Question 2 of 5
A nurse is caring for a client who has acute angina. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Nitroglycerin (
A) relieves angina pain by dilating coronary arteries, the priority. Blood pressure (
B), IV access (
C), and aspirin (
D) follow to stabilize and prevent progression.
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: A
Rationale: Red drainage (
A) suggests active bleeding, requiring immediate reporting. Serosanguineous (
B), brown (
C), and greenish-yellow (
D) drainage are expected post-surgery.
Question 4 of 5
A nurse is preparing to obtain a guaiac smear sample from a client for fecal occult blood testing. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Discarding urine-contaminated samples (
A) ensures test accuracy. Multiple movements are sampled (
B), clean gloves are used (
C), and samples are taken from different areas (
D).
Question 5 of 5
A nurse is assessing a client who has myasthenia gravis. Which of the following client statements should indicate to the nurse that the client needs a referral for occupational therapy?
Correct Answer: B
Rationale: Difficulty brushing hair (
B) indicates upper extremity weakness, appropriate for occupational therapy. Swallowing issues (
A) require speech therapy, bladder control (
C) needs urology, and mobility preference (
D) is not an OT focus.