ATI RN
ATI RN Adult Medical Surgical 2023 IV 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. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: C,A,D,B
Rationale: Upright positioning (
C) reduces blood pressure, checking bladder (
A) addresses triggers, antihypertensives (
D) manage hypertension, and documentation (
B) follows treatment.
Question 2 of 5
A nurse on a medical-surgical unit is planning care for a client who has dementia and a history of wandering. Which of the following actions should the nurse plan to implement?
Correct Answer: B
Rationale: A bed alarm (
B) alerts staff to wandering, enhancing safety. Chemical restraints (
A) are a last resort, double rooms (
C) may increase confusion, and overstimulation (
D) can exacerbate agitation.
Question 3 of 5
A nurse in the PACU is caring for a client. Which of the following assessments is the nurse's priority?
Correct Answer: C
Rationale: Respiratory status (
C) is critical in PACU to ensure airway patency and oxygenation post-anesthesia. Consciousness (
A), pain (
B), and surgical site (
D) are assessed but are secondary to breathing.
Question 4 of 5
A nurse is preparing to obtain a guaiac smear sample from a client for fecal occult blood testing. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Discarding urine-contaminated samples (
A) ensures test accuracy. Multiple movements are sampled (
B), clean gloves are used (
C), and samples are taken from different areas (
D).
Question 5 of 5
A nurse is caring for a postoperative client who has an indwelling urinary catheter. Which of the following actions should the nurse take when removing the catheter?
Correct Answer: B
Rationale: The dorsal recumbent position (
B) facilitates safe catheter removal. Rapid deflation (
A) can cause trauma, reinsertion (
C) is not standard without assessment, and sterile specimens (
D) are collected before removal if needed.