ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is administering packed RBCs to a client. The client reports chills, lower back pain, and nausea 10 min after the infusion begins. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Stopping the infusion is the first action to prevent further reaction in a suspected transfusion reaction.
Question 2 of 5
A home health nurse is assessing a client who has pernicious anemia. Which of the following is an expected manifestation that poses a risk to the client's safety?
Correct Answer: C
Rationale: Paresthesia from vitamin B12 deficiency in pernicious anemia increases fall risk due to sensory impairment.
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: C
Rationale: Morphine reduces anxiety and preload in acute heart failure, improving comfort and breathing.
Question 4 of 5
A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following assessment findings should the nurse identify as a potential trigger for exacerbations of Raynaud's?
Correct Answer: C
Rationale: Nicotine is a vasoconstrictor that can trigger Raynaud's exacerbations.
Question 5 of 5
A nurse working in the emergency department is caring for a client who has a burn injury. After securing the client's airway, which of the following interventions should the nurse take first?
Correct Answer: D
Rationale: Starting an IV for fluid resuscitation is the first priority after airway management in burn injuries.