ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has neutropenia. Which of the following precautions should the nurse take?
Correct Answer: A
Rationale: Frequent vital sign monitoring helps detect early signs of infection in neutropenic clients.
Question 2 of 5
A nurse is assessing a client who is postoperative following a transurethral resection of the prostate and is receiving continuous bladder irrigation. The client reports bladder spasms, and the nurse notes a scant amount of fluid in the urinary drainage bag. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Intermittent irrigation relieves bladder spasms by clearing clots or obstructions.
Question 3 of 5
A nurse is planning care for a client who has a cervical spine injury and has a halo traction device in place. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Space for one finger ensures the vest fits properly without excessive pressure.
Question 4 of 5
A nurse is performing a fall risk assessment on a client. Which of the following findings indicates the client has an increased fall risk?
Correct Answer: B
Rationale: Urinary incontinence increases fall risk due to urgency and potential slips.
Question 5 of 5
A nurse is caring for a client who is 3 hr postoperative. Which of the following findings should the nurse understand is a manifestation of bleeding?
Correct Answer: D
Rationale: Tachycardia is a compensatory response to bleeding and hypovolemia.