ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has heart failure and a new prescription for metoprolol. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: C
Rationale: Metoprolol, a beta-blocker, slows heart rate. A heart rate of 48/min indicates bradycardia, a common adverse effect requiring monitoring or dose adjustment, unlike the other findings, which are not directly related to metoprolol.
Question 2 of 5
A nurse is providing discharge teaching to a client who is postoperative following a total hip arthroplasty. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: A raised toilet seat keeps hips above knees, preventing dislocation post-hip arthroplasty. Heat risks inflammation, moving the stronger leg first is for canes, and twisting increases dislocation risk.
Question 3 of 5
A nurse enters a client's room and discovers the client's abdominal incision is open with the large intestine protruding through the opening. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Covering a dehiscence with saline-soaked gauze prevents tissue drying and infection, the first priority. Notifying the team, adjusting the bed, or preparing for surgery follow after stabilizing the wound.
Question 4 of 5
A nurse is caring for a client who has acute angina. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Nitroglycerin relieves acute angina by dilating coronary arteries, improving blood flow, and is the first action to alleviate chest pain. Aspirin, IV access, and blood pressure follow for further management.
Question 5 of 5
A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspnoeic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hr. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Dyspnea, hypertension, and low urine output suggest fluid overload. Slowing the infusion and notifying the provider prevent worsening symptoms. Changing fluids, giving steroids, or lowering the bed don't address overload directly.