ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client following a cardiac catheterization who has hives and urticaria following administration of IV contrast dye. Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: Hives and urticaria suggest an allergic reaction to contrast dye. Diphenhydramine, an antihistamine, is used to relieve these symptoms. Spironolactone is a diuretic, metoclopramide treats nausea, and desmopressin manages diabetes insipidus, none of which address allergies.
Question 2 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.
Question 3 of 5
A nurse is caring for a client who has been prescribed an antibiotic. The client tells the nurse, 'I don't like taking medications because I don't think I need them.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Explaining the necessity of the antibiotic addresses the client's concern while reinforcing the provider's rationale, encouraging adherence. Other responses dismiss the concern or make assumptions.
Question 4 of 5
A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of the following findings should the nurse include as an indication the client is no longer infectious?
Correct Answer: A
Rationale: Negative sputum cultures confirm no active TB bacteria, indicating non-infectiousness. Skin tests assess exposure, hemoptysis isn't a reliable indicator, and Quantiferon tests don't confirm active infection status.
Question 5 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.