ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that which of the following is the first sign of deteriorating neurological status?
Correct Answer: D
Rationale: Altered level of consciousness is the earliest sign of increased intracranial pressure, reflecting brain dysfunction.
Question 2 of 5
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications?
Correct Answer: A
Rationale: Excessive thirst and high urine output suggest diabetes insipidus, treated with desmopressin to replace antidiuretic hormone.
Question 3 of 5
A nurse is preparing to obtain a guaiac smear sample from a client for fecal occult blood testing. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Urine can contaminate the sample, leading to inaccurate fecal occult blood test results.
Question 4 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: A
Rationale: Edema is expected in the acute phase of burns due to capillary leakage and fluid shifts.
Question 5 of 5
A nurse is admitting a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Photophobia is a common symptom of meningitis due to meningeal irritation affecting the eyes.