ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hours. The nurse should anticipate a prescription for which of the following intravenous (IV) medications?
Correct Answer: D
Rationale: Excessive urination and thirst suggest diabetes insipidus from brainstem injury; desmopressin replaces ADH to reduce urine output.
Question 2 of 5
A nurse is admitting a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Photophobia is a classic symptom of meningitis due to meningeal irritation.
Question 3 of 5
The nurse is performing pin care for a patient with an external fixation device for a fractured tibia. Which assessment finding by the nurse should be reported to the unit care coordinator?
Correct Answer: C
Rationale: Purulent drainage indicates infection, a serious complication requiring prompt reporting.
Question 4 of 5
A nurse is planning care for a client who is receiving targeted radiation therapy to the neck. The nurse should plan to monitor the client for which of the following as an adverse effect of this therapy?
Correct Answer: C
Rationale: Radiation to the neck commonly causes mouth ulcers due to mucosal irritation in the radiation field.
Question 5 of 5
A nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that the client is discharged with which of the following types of pharmacologic therapy?
Correct Answer: C
Rationale: Antithrombotic therapy (e.g., aspirin) is standard post-ischemic stroke to prevent further clot formation.