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 nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: During a seizure, the priority is safety. Clearing surrounding objects prevents injury from falls or collisions, taking precedence over other actions like lowering, loosening clothing, or taking vitals, which follow after ensuring safety.
Question 3 of 5
A nurse is teaching a client who has Graves' disease about recognizing the manifestations of thyroid storm. Which of the following findings should the nurse include in the teaching?
Correct Answer: B
Rationale: Thyroid storm, a hyperthyroid crisis, causes fever (increased temperature) due to excessive thyroid hormone. Tachycardia, agitation, and hypertension are also typical, not decreased heart rate, lethargy, or hypotension.
Question 4 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 5 of 5
A nurse is admitting a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Photophobia is a hallmark of meningitis due to meningeal irritation, unlike intermittent headaches (less specific), petechiae (specific to certain types), or bradycardia (more associated with increased ICP).