ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 of 5
A nurse is assessing a client for a positive Chvostek's sign following a thyroidectomy. Which of the following areas on the client's head should the nurse tap to assess the client for tetany?
Correct Answer: B
Rationale: Tapping the facial nerve (cheek area) elicits a Chvostek's sign, indicating hypocalcemia post-thyroidectomy.
Question 2 of 5
A nurse is assessing a client who has skeletal traction for a femoral fracture. The nurse notes that the weights are resting on the floor. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Elevating the extremity ensures weights hang freely, maintaining traction alignment.
Question 3 of 5
A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion?
Correct Answer: B
Rationale: Cool, clammy skin is a classic sign of hypoglycemia due to sympathetic activation.
Question 4 of 5
A nurse is providing teaching to a client who is to start furosemide therapy for heart failure. Which of the following statements indicates that the client understands a potential adverse effect of this medication?
Correct Answer: C
Rationale: Limiting salt helps prevent fluid retention, a side effect furosemide manages in heart failure.
Question 5 of 5
A charge nurse on a neurological unit is making room assignments for a group of clients. Which of the following clients should the nurse assign to the room closest to the nurses' station?
Correct Answer: A
Rationale: A Glasgow Coma Scale of 10 indicates altered consciousness, requiring close monitoring.