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.
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 caring for a client who is receiving mechanical ventilation when the low pressure alarm sounds on the ventilator. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A low pressure alarm suggests a cuff leak, allowing air to escape, requiring immediate evaluation.
Question 3 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 4 of 5
A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Lowering the client to the floor prevents injury from falling, the priority during a seizure.
Question 5 of 5
A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?
Correct Answer: B
Rationale: Gout is caused by hyperuricemia, so elevated uric acid levels are expected in acute gout.