ATI RN
ATI RN Adult Medical Surgical 2023 III 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: D,B,A,C
Rationale: Positioning upright reduces blood pressure, emptying the bladder removes the trigger, antihypertensives manage severe hypertension, and documenting ensures future care planning.
Question 2 of 5
A nurse manager is providing an in-service to a group of newly licensed nurses about the use of personal protective equipment. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Goggles protect the eyes during wound irrigation, a procedure with splash risk.
Question 3 of 5
A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that which of the following is the first sign of deteriorating neurological status?
Correct Answer: A
Rationale: Altered level of consciousness is the earliest sign of neurological deterioration due to increased ICP.
Question 4 of 5
A nurse is assessing a client who has skeletal traction for a femoral fracture. The nurse notes that the weights are resting on the floor. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Pulling the client up in bed restores traction by lifting the weights off the floor, maintaining alignment.
Question 5 of 5
A nurse in the emergency department is monitoring a client who is receiving dopamine to treat hypovolemic shock. Which of the following findings should the nurse identify as an indication for increasing the client's dopamine dosage?
Correct Answer: B
Rationale: Low blood pressure (90/50 mm Hg) indicates persistent shock, warranting an increased dopamine dose.