ATI RN
ATI RN Adult Medical Surgical 2023 IV 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: B
Rationale: Difficulty brushing hair (
B) indicates upper extremity weakness, appropriate for occupational therapy. Swallowing issues (
A) require speech therapy, bladder control (
C) needs urology, and mobility preference (
D) is not an OT focus.
Question 2 of 5
A nurse is assessing a client who is 4 hr. postoperative following arterial revascularization of the left femoral artery. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: A
Rationale: Pallor (
A) suggests compromised blood flow, a critical complication post-revascularization. Urine output (
B) is adequate, mild fever (
C) is expected, and bruising (
D) is common.
Question 3 of 5
A nurse is caring for a group of clients who are 12 hr postoperative. The nurse should identify that the client who had which of the following procedures is at risk for developing fat embolism syndrome?
Correct Answer: D
Rationale: Internal fixation of a hip fracture (
D) risks fat embolism due to bone marrow disruption. Thyroidectomy (
A), rotator cuff repair (
B), and tympanoplasty (
C) have lower risks.
Question 4 of 5
A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Petechiae indicate thrombocytopenia in leukemia, requiring bleeding precautions (
D). Blood typing (
A) is irrelevant, airborne precautions (
B) are for infections, and IV pain meds (
C) are not contraindicated.
Question 5 of 5
A nurse is caring for a client who has acute heart failure and received morphine IV 30 min ago. Which of the following findings should the nurse identify as an indication that the medication was effective?
Correct Answer: D
Rationale: Morphine reduces preload and anxiety (
D) in heart failure, improving comfort. Increased respiratory rate (
A) suggests distress, decreased urine output (
B) is unrelated, and emesis (
C) is not a therapeutic goal.