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 providing teaching for a client who has diabetes mellitus about the self-administration of insulin. The client has prescriptions for regular and NPH insulins. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Drawing regular insulin first prevents contamination of the short-acting insulin with NPH.
Question 3 of 5
A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The rise and fall (tidaling) in the water-seal chamber reflects normal breathing mechanics, indicating a patent system.
Question 4 of 5
A client who has a terminal illness asks the nurse, 'If I have a DNR prescription, does that mean I will no longer receive any treatment for my condition?' Which of the following statements should the nurse provide to explain a DNR prescription?
Correct Answer: C
Rationale: A DNR only applies to resuscitation, not ongoing treatment, which continues as planned.
Question 5 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 and reduces headache risk.