ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has myasthenia gravis. Which of the following client statements should indicate to the nurse that the client needs a referral for occupational therapy?
Correct Answer: D
Rationale: Difficulty brushing hair indicates upper extremity weakness, which occupational therapy can address through adaptive techniques. Bladder issues, swallowing, and mobility require other interventions.
Question 2 of 5
A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?
Correct Answer: C
Rationale: Fever, night sweats, and cough suggest possible tuberculosis, requiring airborne isolation in a private room. Ketoacidosis, fractures, and pneumonia don't typically require private rooms unless contagious.
Question 3 of 5
A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: During a seizure, the priority is safety. Clearing surrounding objects prevents injury from falls or collisions, taking precedence over other actions like lowering, loosening clothing, or taking vitals, which follow after ensuring safety.
Question 4 of 5
A nurse in the emergency department is monitoring a client who is receiving dopamine to treat hypovolemic shock. Which of the following findings should the nurse identify as an indication for increasing the client's dopamine dosage?
Correct Answer: D
Rationale: Dopamine is used to treat hypovolemic shock by increasing blood pressure through vasoconstriction and improved cardiac output. A blood pressure of 90/50 mm Hg indicates hypotension, suggesting the current dose is insufficient, necessitating an increase.
Question 5 of 5
A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Correct Answer: C
Rationale: Cloudy effluent is the earliest sign of peritonitis in peritoneal dialysis, indicating infection before systemic symptoms like pain, fever, or tachycardia develop, allowing prompt intervention.