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.)
Order the Items
Source Container
Confirm that the client's bladder is empty.
Indicate the risk for autonomic dysreflexia in the client's medical record.
Place the client in an upright sitting position.
Administer an antihypertensive medication intravenously.
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
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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