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 new diagnosis of type 2 diabetes mellitus and has a referral for a dietary consult. The client tells the nurse, 'I will have to eat whatever the dietitian tells me.' Which of the following statements by the nurse encourages the client's involvement in their plan of care?
Correct Answer: A
Rationale:
Choice A encourages the client's active participation by involving them in creating a personalized food list, promoting autonomy and engagement in their care.
Question 2 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 3 of 5
A nurse is preparing to assist with an ocular irrigation for a client who had a chemical splash to the left eye. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Irrigating from inner to outer corner prevents contamination of the unaffected eye.
Question 4 of 5
A nurse is caring for a client who is experiencing an increase in intracranial pressure (ICP). The nurse should expect which of the following as an early manifestation of increased ICP?
Correct Answer: B
Rationale: Restlessness is an early sign of increased ICP due to cerebral irritation.
Question 5 of 5
A nurse is assessing a client following the administration of an initial dose of captopril. Which of the following findings indicates an anaphylactic response?
Correct Answer: A
Rationale: Laryngeal edema is a hallmark of anaphylaxis, a severe allergic reaction requiring immediate intervention.