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 caring for a client who is receiving morphine through a PCA device. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Teaching the client to use the PCA ensures safe, patient-controlled pain management. Family shouldn't press the button, respiratory monitoring should be more frequent, and oral opioids aren't typically added with PCA.
Question 3 of 5
A nurse is caring for a client who has acute heart failure and received morphine IV 30 min ago. Which of the following findings should the nurse identify as an indication that the medication was effective?
Correct Answer: A
Rationale: Morphine in heart failure reduces preload and anxiety, improving comfort. Decreased anxiety indicates effectiveness. Vomiting, increased respiratory rate, or low urine output suggest other issues, not therapeutic response.
Question 4 of 5
A nurse is preparing to obtain a guaiac smear sample from a client for fecal occult blood testing. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Urine contaminates fecal occult blood tests, giving false results, so such samples are discarded. Samples are taken from different stool areas, non-sterile gloves suffice, and multiple movements are preferred.
Question 5 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.