ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who received a purified protein derivative (PPD) skin test 48 hr ago and notes erythema with induration of 12 mm at the injection site. Which of the following instructions should the nurse provide to the client?
Correct Answer: B
Rationale: A 12 mm induration indicates a positive TB test, requiring provider follow-up.
Question 2 of 5
A nurse is planning care for a client who has bacterial meningitis. Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: Dimming lights reduces photophobia, a common symptom of bacterial meningitis.
Question 3 of 5
A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3 years. Which of the following tests should the nurse monitor?
Correct Answer: A
Rationale: Long-term ibuprofen use can cause gastrointestinal bleeding, so monitoring stool for occult blood is essential.
Question 4 of 5
A nurse is preparing to receive a client from surgery following a transverse colon resection with colostomy placement. The nurse should expect to assess the stoma at which of the following locations? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
Correct Answer: B
Rationale: The transverse colon stoma is typically located in the upper abdomen, corresponding to location B.
Question 5 of 5
A nurse in the emergency department is managing the care of a client who has an electrical shock injury. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Obtaining an ECG first assesses for cardiac arrhythmias caused by electrical injury.