ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving morphine for pain and has a respiratory rate of 8/min and a blood pressure of 80/40 mm Hg. Which of the following medications should the nurse administer?
Correct Answer: A
Rationale: Naloxone reverses opioid overdose effects like respiratory depression and hypotension.
Question 2 of 5
A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hr. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Dyspnea and fluid overload signs require slowing the infusion and notifying the provider.
Question 3 of 5
A nurse is caring for a client who has thrombocytopenia due to chemotherapy treatment. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A soft-bristled toothbrush minimizes gum trauma, reducing bleeding risk in thrombocytopenia, where low platelets impair clotting. B. Rectal suppositories risk mucosal tearing and bleeding. C. A low-residue diet is irrelevant to bleeding risk. D. Safety razors increase bleeding risk; electric razors are safer.
Question 4 of 5
A nurse is caring for a client who has moderate Alzheimer's disease. During weekly home visits, the nurse notices that the client's caregiver is tired, irritable, and impatient with the client. Which of the following actions should the nurse recommend to the caregiver?
Correct Answer: D
Rationale: Respite care provides relief for caregivers, reducing burnout.
Question 5 of 5
A nurse is performing a cranial nerve assessment on a client following a head injury. Which of the following findings should the nurse expect if the client has impaired function of the vestibulocochlear nerve (cranial nerve VIII)?
Correct Answer: C
Rationale: The vestibulocochlear nerve (cranial nerve VIII) is responsible for balance and hearing; impaired function leads to disequilibrium with movement.