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 sealed radiation implant. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Limiting family member visits to 30 minutes per day reduces radiation exposure to others, which is a key safety measure for clients with sealed radiation implants.
Question 2 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: B
Rationale: Lying flat post-lumbar puncture reduces the risk of spinal headache due to cerebrospinal fluid leakage.
Question 3 of 5
A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy treatment. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Gentle flossing helps maintain oral hygiene without irritating mucositis lesions caused by chemotherapy.
Question 4 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 5 of 5
A nurse is caring for a client who has a spinal cord injury and has developed autonomic dysreflexia. Identify the sequence of steps the nurse should take.
Correct Answer: D,B,A,C
Rationale: Positioning upright reduces blood pressure, emptying the bladder removes the trigger, antihypertensives manage severe hypertension, and documenting ensures future care planning.