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.
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 is planning care for a client who has dementia. Which of the following interventions should the nurse plan to include?
Correct Answer: C
Rationale: Placing the bed at the lowest height reduces fall risk, a key concern for clients with dementia.
Question 3 of 5
A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy treatment. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Gentle flossing helps maintain oral hygiene without irritating mucositis lesions caused by chemotherapy.
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: A
Rationale: Structured activities help maintain routine and reduce confusion in clients with Alzheimer's disease.
Question 5 of 5
A nurse is caring for a client who has skeletal traction applied to the left leg. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A trapeze bar assists the client in repositioning without disrupting the traction, promoting comfort and mobility.