ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client following extubation from a Ventilator. For which of the following findings should the nurse intervene immediately?
Correct Answer: C
Rationale: Stridor indicates airway obstruction post-extubation, requiring immediate intervention.
Question 2 of 5
A nurse is caring for a client who has moderate Alzheimer's disease. During weekly home visits, the nurse notices that the client's caregiver is tired, irritable, and impatient with the client. Which of the following actions should the nurse recommend to the caregiver?
Correct Answer: D
Rationale: Respite care provides relief for caregivers, reducing burnout.
Question 3 of 5
A nurse is providing instructions to a client who has primary syphilis. Which of the following instructions should the nurse include in the discharge plan?
Correct Answer: D
Rationale: Follow-up blood tests monitor treatment efficacy for syphilis.
Question 4 of 5
A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation and asks about the purpose of maintaining an elastic bandage around the residual limb of the extremity. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: An elastic bandage reduces edema and shapes the residual limb for a prosthesis.
Extract:
Physical Examination
Jaundice
Orange-brown colored urine
Positive hemoccult blood
Abdominal distention
Lethargy
1+ edema
Oriented x4
Tachydysrhythmia
Dyspnea with exertion
A nurse is admitting a middle adult client who has cirrhosis. Findings upon admission:
Question 5 of 5
A nurse is admitting a middle adult client who has cirrhosis. Findings upon admission: The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.
| Options | Unrelated to diagnosis | Indication of Potential Improvement | Indication of Potential Worsening Condition |
|---|---|---|---|
| Spontaneous bruising | |||
| Ascites | |||
| Increased albumin level | |||
| Hematemesis | |||
| Elevated iron levels |
Correct Answer:
Rationale: Spontaneous bruising and hematemesis worsen cirrhosis; ascites is related; increased albumin improves; iron is unrelated.