ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who sustained major full-thickness burns to their lower legs 12 hr ago. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Full-thickness burns destroy all skin layers, causing significant edema within hours due to vascular permeability. Blistering occurs in partial-thickness burns, epithelialization is later in healing, and severe pain is less likely due to nerve damage.
Question 2 of 5
A PACU nurse is monitoring the drainage from a client's NG tube following abdominal surgery. Which of the following findings in the first postoperative hour should the nurse report to the provider?
Correct Answer: C
Rationale: Red drainage suggests active bleeding, requiring immediate reporting post-abdominal surgery. Serosanguineous, brown, or greenish drainage is expected initially, but bright red indicates a potential complication.
Question 3 of 5
A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory results should the nurse monitor to determine long-term glycemic control?
Correct Answer: A
Rationale: Glycosylated hemoglobin (HbA1c) reflects average blood glucose over 2-3 months, indicating long-term control. Glucose tolerance tests diagnose diabetes, while postprandial and fasting levels show short-term status.
Question 4 of 5
A nurse is caring for a client who is using a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Turning off the CPM machine during eating prevents discomfort and ensures safety, allowing the client to focus on nutrition. Settings need more frequent checks, range increases gradually, and storage on the floor risks contamination.
Question 5 of 5
A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A second pair of gloves protects the nurse if a radiation implant dislodges, minimizing exposure. Visit limits are stricter, dosimeters are personal, and linens are bagged until radiation safety clears them.