ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 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.
Order the Items
Source Container
Correct Answer: B,D,C,A
Rationale: Upright positioning reduces blood pressure, checking the bladder addresses a common trigger, antihypertensives treat severe hypertension, and documentation follows.
Question 2 of 5
A nurse is planning care for a client who is receiving heparin IV to treat a pulmonary embolism. Which of the following medications should the nurse plan to have available?
Correct Answer: A
Rationale: Protamine sulfate reverses heparin's anticoagulant effect in case of bleeding, essential for heparin therapy.
Question 3 of 5
A nurse is caring for a client who has rheumatoid arthritis and reports stiffness in their hands. After reviewing the client's medical record, which of the following actions should the nurse take?
Correct Answer: C
Rationale: Paraffin treatment reduces stiffness and pain in rheumatoid arthritis, improving hand mobility.
Question 4 of 5
A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Correct Answer: D
Rationale: Cloudy effluent is the earliest sign of peritonitis, indicating infection in the peritoneal cavity.
Question 5 of 5
A nurse is providing discharge teaching to a client who has osteomyelitis in their left leg. Which of the following findings should the nurse identify as requiring a referral?
Correct Answer: A
Rationale: Elevated WBC (20,000/mm³) suggests persistent infection, requiring referral for further evaluation.