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 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: C
Rationale: High urine output and thirst suggest diabetes insipidus from brainstem injury, treated with desmopressin (
C). Furosemide (
A), nitroprusside (
B), and epinephrine (
D) do not address this condition.
Question 3 of 5
A nurse in a clinic is assessing a client who has type 1 diabetes mellitus. The client is diaphoretic, has a heart rate of 92/min, and reports palpitations. The client states, 'I went for my morning run and feel exhausted.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Symptoms suggest hypoglycemia, common in type 1 diabetes post-exercise. Asking about insulin adjustment (
B) identifies potential causes. Routine exercise (
A), avoiding carbs (
C), or normalizing symptoms (
D) ignores the issue.
Question 4 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 5 of 5
A nurse is reviewing the arterial blood gas report of a client who is in metabolic acidosis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A pH of 7.28 (
A) indicates acidosis, consistent with metabolic acidosis (low HCO3). PaCO2 (
B) reflects respiratory compensation, HCO3 (
C) confirms the metabolic cause, and PaO2 (
D) is unrelated to acid-base status.