ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new onset of hyperglycemic hyperosmolar state (HHS). Which of the following interventions by the nurse is the highest priority?
Correct Answer: A
Rationale: IV fluid replacement is the highest priority in HHS to correct severe dehydration and restore hemodynamic stability.
Question 2 of 5
A nurse is preparing to receive a client from surgery following a transverse colon resection with colostomy placement. The nurse should expect to assess the stoma at which of the following locations? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
Correct Answer: B
Rationale: The transverse colon stoma is typically located in the upper abdomen, corresponding to location B.
Question 3 of 5
A nurse is caring for a client who has just returned from surgery with an external fixator to the left tibia. Which of the following assessment findings requires immediate intervention by the nurse?
Correct Answer: D
Rationale: A capillary refill of 6 seconds indicates impaired circulation requiring immediate intervention.
Question 4 of 5
A nurse is teaching about safe positioning with the caregiver of a client who has right-sided hemiplegia following a stroke. Which of the following statements by the caregiver indicates an understanding of the teaching?
Correct Answer: B
Rationale: Supporting the feet prevents foot drop in a client with hemiplegia.
Question 5 of 5
A nurse is planning care for a client who has developed nephrotic syndrome. Which of the following dietary recommendations should the nurse include?
Correct Answer: B
Rationale: Decreasing protein intake reduces proteinuria in nephrotic syndrome.