ATI RN
ATI RN Medical Surgical 2023 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: D
Rationale: Respiratory status is the priority in the PACU, as airway obstruction or depression can be life-threatening post-anesthesia. Consciousness, surgical site, and pain are assessed after ensuring airway and breathing stability.
Question 2 of 5
A nurse is assessing a client who has type 1 diabetes mellitus. The client is diaphoretic, has a heart rate of 92/min, and reports palpitations. The client states, 'I went for my morning run and feel exhausted.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Diaphoresis, palpitations, and exhaustion suggest hypoglycemia, common in type 1 diabetes if insulin isn't reduced before exercise, which increases glucose uptake. Other responses dismiss or misattribute the symptoms.
Question 3 of 5
A nurse is caring for a client who has acute heart failure and received morphine IV 30 min ago. Which of the following findings should the nurse identify as an indication that the medication was effective?
Correct Answer: A
Rationale: Morphine in heart failure reduces preload and anxiety, improving comfort. Decreased anxiety indicates effectiveness. Vomiting, increased respiratory rate, or low urine output suggest other issues, not therapeutic response.
Question 4 of 5
A nurse is caring for a group of clients who are 12 hr postoperative. The nurse should identify that the client who had which of the following procedures is at risk for developing fat embolism syndrome?
Correct Answer: A
Rationale: Fat embolism syndrome is a risk after long bone or pelvic fractures, like hip fixation, due to fat globules entering the bloodstream. Rotator cuff, thyroid, or ear surgeries carry minimal risk for this complication.
Question 5 of 5
A nurse manager is providing an in-service to a group of newly licensed nurses about the use of personal protective equipment. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Goggles protect against splashes during wound irrigation, a correct PPE use. Recapping needles risks injury, sterile gloves aren't needed for IM injections, and gowns are unnecessary for routine linen changes.