ATI RN
ATI RN Adult Medical Surgical 2023 III 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: D
Rationale: Weight loss indicates effective diuresis, as furosemide reduces fluid overload in pulmonary edema, leading to decreased body weight.
Question 2 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: C
Rationale: Restlessness is an early sign of increased ICP due to cerebral irritation before more severe symptoms appear.
Question 3 of 5
A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Petechiae suggest thrombocytopenia; bleeding precautions minimize the risk of hemorrhage.
Question 4 of 5
A nurse working in the emergency department is admitting a client who has pertussis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A surgical mask prevents droplet transmission of pertussis during close contact with the client.
Question 5 of 5
A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Limiting family member visits to 30 minutes per day reduces radiation exposure to others, which is a key safety measure for clients with sealed radiation implants.