ATI RN
ATI RN Adult Med-Surg 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?
Correct Answer: B
Rationale: Referred pain from pancreatitis often radiates to the left shoulder.
Question 2 of 5
A nurse is caring for a client who is 3 hr postoperative following a total knee arthroplasty. Which of the following actions should the nurse take to prevent venous thromboembolism?
Correct Answer: C
Rationale: Foot circumduction promotes venous return, reducing thromboembolism risk.
Question 3 of 5
A nurse is caring for a client who has a herniated disc and is scheduled for a peripheral nerve block. The client tells the nurse, 'I am afraid to have this procedure.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Discussing concerns validates the client's feelings and encourages communication.
Question 4 of 5
A nurse on the medical-surgical unit is caring for a client who has a seizure disorder. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Padding side rails prevents injury during seizures; tongue blades are not recommended.
Question 5 of 5
A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings should the nurse recognize as an indication that the client is experiencing dehydration?
Correct Answer: C
Rationale: Decreased blood pressure indicates dehydration due to fluid loss.