ATI RN
ATI RN Adult Medical Surgical 2023 III 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 is a sign of anaphylaxis, a severe allergic reaction requiring immediate intervention.
Question 2 of 5
A nurse is caring for a client who is using a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Turning off the CPM machine during meals prevents discomfort and ensures safety while eating.
Question 3 of 5
A nurse is teaching a client who has left-sided weakness how to use a quad cane. Which of the following client actions indicates an understanding of the teaching?
Correct Answer: A
Rationale: Advancing the weaker leg to the cane provides stability and support during ambulation.
Question 4 of 5
A nurse is caring for a client who has oral achalasia. The nurse should ask the client which of the following questions to assess their ability to swallow?
Correct Answer: B
Rationale: Achalasia causes difficulty in esophageal emptying, often leading to a sensation of food being stuck at the base of the throat.
Question 5 of 5
A nurse is teaching a client who has Graves' disease about recognizing the manifestations of thyroid storm. Which of the following findings should the nurse include in the teaching?
Correct Answer: A
Rationale: Thyroid storm is a life-threatening condition marked by hyperthermia due to excessive thyroid hormone release.