ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client immediately following a cardiac catheterization through the right femoral artery. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Keeping the leg straight prevents bleeding or hematoma at the femoral puncture site post-catheterization. Hourly vitals are insufficient, 45° elevation risks clot dislodgement, and fluid restriction is unnecessary unless specified.
Question 2 of 5
A nurse is assessing a client following the administration of an initial dose of captopril. Which of the following findings indicates an anaphylactic response?
Correct Answer: B
Rationale: Laryngeal edema indicates airway compromise from an anaphylactic reaction to captopril, an ACE inhibitor. Fever, hypertension, and arrhythmias are not typical anaphylactic responses.
Question 3 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).
Question 4 of 5
A nurse is assessing a client who has myasthenia gravis. Which of the following client statements should indicate to the nurse that the client needs a referral for occupational therapy?
Correct Answer: D
Rationale: Difficulty brushing hair indicates upper extremity weakness, which occupational therapy can address through adaptive techniques. Bladder issues, swallowing, and mobility require other interventions.
Question 5 of 5
A nurse is assessing a client who has type 1 diabetes mellitus. The client is diaphoretic, has a heart rate of 92/min, and reports palpitations. The client states, 'I went for my morning run and feel exhausted.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Diaphoresis, palpitations, and exhaustion suggest hypoglycemia, common in type 1 diabetes if insulin isn't reduced before exercise, which increases glucose uptake. Other responses dismiss or misattribute the symptoms.