ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has acute angina. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Nitroglycerin relieves acute angina by dilating coronary arteries, improving blood flow, and is the first action to alleviate chest pain. Aspirin, IV access, and blood pressure follow for further management.
Question 2 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.
Question 3 of 5
A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Correct Answer: C
Rationale: Cloudy effluent is the earliest sign of peritonitis in peritoneal dialysis, indicating infection before systemic symptoms like pain, fever, or tachycardia develop, allowing prompt intervention.
Question 4 of 5
A nurse is admitting a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Photophobia is a hallmark of meningitis due to meningeal irritation, unlike intermittent headaches (less specific), petechiae (specific to certain types), or bradycardia (more associated with increased ICP).
Question 5 of 5
A nurse is assessing a client who has myasthenia gravis. Which of the following client statements should indicate to the nurse that the client needs a referral for occupational therapy?
Correct Answer: D
Rationale: Difficulty brushing hair indicates upper extremity weakness, which occupational therapy can address through adaptive techniques. Bladder issues, swallowing, and mobility require other interventions.