ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should indicate to the nurse the need for immediate intervention?
Correct Answer: C
Rationale: A respiratory rate of 30/min is significantly elevated, indicating potential respiratory distress or neurological deterioration, requiring immediate intervention.
Question 2 of 5
A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and is receiving 3% sodium chloride via continuous IV. Which of the following laboratory findings should the nurse identify as an indication that the SIADH is resolving?
Correct Answer: A
Rationale: A normal urine specific gravity (1.02) indicates appropriate water excretion, suggesting resolving SIADH, as concentrated urine is typical in active SIADH.
Question 3 of 5
A nurse is providing teaching to a client who is scheduled for a bone marrow biopsy taken from the iliac crest. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Acetaminophen is recommended for post-biopsy pain relief, effective with minimal bleeding risk compared to NSAIDs.
Question 4 of 5
A nurse is caring for a client who has been experiencing repeated tonic-clonic seizures over the course of 30 minutes. After maintaining the client's airway and turning the client on their side, which of the following medications should the nurse administer?
Correct Answer: A
Rationale: Diazepam IV acts quickly to stop seizures, making it ideal for managing status epilepticus with rapid onset.
Question 5 of 5
A nurse is caring for a client who has a cerebellar tumor. Which of the following actions is the nurse's priority?
Correct Answer: A
Rationale: Providing assistance with ambulation prevents falls due to ataxia, a common symptom of cerebellar tumors affecting coordination and balance.