ATI RN
ATI RN Adult Medical Surgical 2023 IV Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has skeletal traction for a femoral fracture. The nurse notes that the weights are resting on the floor. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Pulling the client up (
C) restores traction by lifting weights off the floor. Removing weights (
A), tying knots (
B), or elevating further (
D) disrupts traction alignment.
Question 2 of 5
A nurse in a provider's office is evaluating a client who has been taking lisinopril for hypertension. The nurse should identify which of the following findings as an adverse effect of this medication?
Correct Answer: B
Rationale: A dry cough (
B) is a common side effect of ACE inhibitors like lisinopril due to bradykinin accumulation. Leukocytosis (
A), hypokalemia (
C), and bradycardia (
D) are not typical adverse effects.
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 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: A
Rationale: Discarding urine-contaminated samples (
A) ensures test accuracy. Multiple movements are sampled (
B), clean gloves are used (
C), and samples are taken from different areas (
D).
Question 5 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.