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 caring for a client who is experiencing an acute asthma attack. Which of the following should the nurse identify as a contributing factor to the client's manifestations?
Correct Answer: D
Rationale: Asthma attacks involve bronchoconstriction and inflammation, trapping air and preventing CO2 exhalation, leading to hypercapnia. Elasticity loss is chronic, allergen response is heightened, and inflammation is active, not suppressed.
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 suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion?
Correct Answer: B
Rationale: Hypoglycemia causes sympathetic activation, leading to cold, clammy skin from sweating. Increased urine output, acetone breath, and Kussmaul respirations are associated with hyperglycemia or ketoacidosis.
Question 5 of 5
A nurse is assessing a client who has heart failure and a new prescription for metoprolol. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: C
Rationale: Metoprolol, a beta-blocker, slows heart rate. A heart rate of 48/min indicates bradycardia, a common adverse effect requiring monitoring or dose adjustment, unlike the other findings, which are not directly related to metoprolol.