ATI RN
ATI RN Medical Surgical 2023 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: A,B,D,C
Rationale: Autonomic dysreflexia requires: 1) Upright positioning to lower blood pressure; 2) Checking bladder for distension, a common trigger; 3) Antihypertensive administration if severe; 4) Documenting risk to ensure ongoing monitoring.
Question 2 of 5
A nurse is assessing a client who sustained major full-thickness burns to their lower legs 12 hr ago. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Full-thickness burns destroy all skin layers, causing significant edema within hours due to vascular permeability. Blistering occurs in partial-thickness burns, epithelialization is later in healing, and severe pain is less likely due to nerve damage.
Question 3 of 5
A nurse is teaching a client who has asthma about how to use a metered-dose inhaler with a spacer. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Holding the breath for 10 seconds after inhaling allows the medication to deposit effectively in the lungs, enhancing absorption. Cleaning typically involves warm water, waiting time between puffs is usually 60 seconds, and a whistling sound indicates incorrect technique.
Question 4 of 5
A nurse is providing teaching for the family of a client who has Alzheimer's disease. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Structured activities reduce agitation and provide routine for Alzheimer's clients. Darkness may disorient, excessive stimulation can overwhelm, and calendars are less effective due to memory impairment.
Question 5 of 5
A nurse is caring for a client who is receiving morphine through a PCA device. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Teaching the client to use the PCA ensures safe, patient-controlled pain management. Family shouldn't press the button, respiratory monitoring should be more frequent, and oral opioids aren't typically added with PCA.