Questions 86

ATI RN

ATI RN Test Bank

ATI RN Adult Medical Surgical 2023 I 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 is the priority for acute angina to relieve chest pain by dilating coronary arteries, per acute coronary syndrome protocols.

Question 2 of 5

A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make?

Correct Answer: B

Rationale: The rise and fall (tidaling) in the water-seal chamber reflects normal breathing mechanics, indicating a patent system.

Question 3 of 5

A nurse is teaching a client who has Graves' disease about recognizing the manifestations of thyroid storm. Which of the following findings should the nurse include in the teaching?

Correct Answer: B

Rationale: Increased temperature (fever) is a hallmark of thyroid storm due to excessive thyroid hormone.

Question 4 of 5

A hospice nurse is planning care for a client who has lung cancer. Which of the following statements should the nurse make to incorporate the client's and family's cultural beliefs?

Correct Answer: B

Rationale: Respecting cultural preferences ensures individualized, compassionate care.

Question 5 of 5

A nurse is evaluating an older adult client who expresses concern about the aging process. Which of the following statements made by the client indicates a need for follow-up?

Correct Answer: B

Rationale: Feeling down may indicate depression, not a normal aging process, warranting follow-up.

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