ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 of 5
A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?
Correct Answer: C
Rationale: Weight loss indicates fluid loss, showing furosemide's effectiveness in reducing pulmonary edema.
Question 2 of 5
A nurse in the emergency department is evaluating a young adult client for bacterial meningitis. Which of the following actions should the nurse take as part of the focused assessment?
Correct Answer: C
Rationale: Nuchal rigidity is a classic sign of meningitis, assessed by resistance or pain when flexing the neck, indicating meningeal irritation.
Question 3 of 5
A nurse is caring for a client who is postoperative following a complete thyroidectomy. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: B
Rationale: Muscle twitching may indicate hypocalcemia due to parathyroid gland damage during thyroidectomy, a critical complication requiring immediate reporting.
Question 4 of 5
A nurse is caring for a client who has been prescribed an antibiotic. The client tells the nurse, 'I don't like taking medications because I don't think I need them.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Informing the provider respects the client's autonomy and ensures the care plan is adjusted appropriately, promoting client-centered care.
Question 5 of 5
A nurse is assessing a client following the administration of an initial dose of captopril. Which of the following findings indicates an anaphylactic response?
Correct Answer: B
Rationale: Laryngeal edema is a hallmark of anaphylaxis, indicating airway swelling that requires immediate intervention. Fever, hypertension, and arrhythmia are not typical anaphylactic responses.