ATI RN
ATI RN Adult Medical Surgical 2023 V 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: A
Rationale: Edema is expected in the acute phase of burns due to capillary leakage and fluid shifts.
Question 2 of 5
A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that which of the following is the first sign of deteriorating neurological status?
Correct Answer: D
Rationale: Altered level of consciousness is the earliest sign of increased intracranial pressure, reflecting brain dysfunction.
Question 3 of 5
A nurse is planning care for a client who is receiving heparin IV to treat a pulmonary embolism. Which of the following medications should the nurse plan to have available?
Correct Answer: A
Rationale: Protamine sulfate reverses heparin's anticoagulant effect in case of bleeding, essential for heparin therapy.
Question 4 of 5
A nurse is teaching a client who has AIDS and wishes to continue self-care at home despite living alone. Which of the following actions by the nurse demonstrates client advocacy?
Correct Answer: A
Rationale: A home health referral supports the client's desire for independence while ensuring safe care.
Question 5 of 5
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates effectiveness of the teaching?
Correct Answer: C
Rationale: Antiviral therapy for herpes is typically 7-14 days, and 3 weeks aligns with extended initial treatment understanding.