ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client immediately following a lumbar puncture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Lying flat post-lumbar puncture prevents cerebrospinal fluid leakage, reducing headache risk. Tingling isn't expected, fluid intake supports hydration, and glucose monitoring is unrelated unless diabetes is present.
Question 2 of 5
A nurse is providing teaching for the family of a client who has Alzheimer's disease. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Structured activities reduce agitation and provide routine for Alzheimer's clients. Darkness may disorient, excessive stimulation can overwhelm, and calendars are less effective due to memory impairment.
Question 3 of 5
A nurse is assessing a client who has heart failure and a new prescription for metoprolol. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: C
Rationale: Metoprolol, a beta-blocker, slows heart rate. A heart rate of 48/min indicates bradycardia, a common adverse effect requiring monitoring or dose adjustment, unlike the other findings, which are not directly related to metoprolol.
Question 4 of 5
A nurse is planning care for a client who is 12 hr postoperative following a kidney transplant. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Hourly urine output monitoring detects early graft dysfunction, critical post-kidney transplant. Blood pressure checks should be more frequent, rejection causes other electrolyte issues, and IV opioids are preferred early post-op.
Question 5 of 5
A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line in her left forearm. The client is receiving an antibiotic via intermittent IV bolus every 12 hr. Which of the following actions should the nurse take in managing the client's PICC line?
Correct Answer: D
Rationale: Flushing with saline after use prevents occlusion and maintains PICC patency. Non-coring needles are for ports, continuous infusion isn't required, and dressings are changed weekly or as needed, not daily.