ATI RN
ATI RN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a chest tube in the pleural space. The nurse notices continuous bubbling in the water seal chamber of the client's drainage system. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Continuous bubbling in the water seal chamber indicates an air leak; clamping the tubing helps identify the source.
Question 2 of 5
A nurse is teaching a client who has left-sided weakness how to use a quad cane. Which of the following client actions indicates an understanding of the teaching?
Correct Answer: A
Rationale: Advancing the weaker leg to the cane provides stability and support during ambulation.
Question 3 of 5
A nurse is teaching a client who has Graves' disease about recognizing the manifestations of thyroid storm. Which of the following findings should the nurse include in the teaching?
Correct Answer: A
Rationale: Thyroid storm is a life-threatening condition marked by hyperthermia due to excessive thyroid hormone release.
Question 4 of 5
A nurse is assessing clients for skin integrity. Which of the following clients is at greatest risk for developing skin breakdown?
Correct Answer: D
Rationale: Paraplegia increases the risk of skin breakdown due to immobility and loss of sensation, leading to pressure injuries.
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: B
Rationale: Lowering the client to the floor prevents injury from falling during a seizure, making it the priority action.