ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 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 indicates airway compromise from an anaphylactic reaction to captopril, an ACE inhibitor. Fever, hypertension, and arrhythmias are not typical anaphylactic responses.
Question 2 of 5
A nurse is assessing a client who sustained major full-thickness burns to their lower legs 12 hr ago. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Full-thickness burns destroy all skin layers, causing significant edema within hours due to vascular permeability. Blistering occurs in partial-thickness burns, epithelialization is later in healing, and severe pain is less likely due to nerve damage.
Question 3 of 5
A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Wearing gloves and handwashing when changing litter prevents toxoplasmosis, a risk in AIDS due to immunosuppression. Alcohol is insufficient for body fluids, dry cleaning isn't needed, and diet alone doesn't address infection risk.
Question 4 of 5
A nurse is caring for a client who is postoperative and develops respiratory depression after receiving morphine for pain control. Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: Morphine-induced respiratory depression is reversed by naloxone, an opioid antagonist. Diphenhydramine treats allergies, flumazenil reverses benzodiazepines, and calcium gluconate corrects hypocalcemia, none of which address opioid overdose.
Question 5 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: A
Rationale: Explaining the necessity of the antibiotic addresses the client's concern while reinforcing the provider's rationale, encouraging adherence. Other responses dismiss the concern or make assumptions.