ATI RN
ATI RN Adult Medical Surgical 2023 IV Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has acute heart failure and received morphine IV 30 min ago. Which of the following findings should the nurse identify as an indication that the medication was effective?
Correct Answer: D
Rationale: Morphine reduces preload and anxiety (
D) in heart failure, improving comfort. Increased respiratory rate (
A) suggests distress, decreased urine output (
B) is unrelated, and emesis (
C) is not a therapeutic goal.
Question 2 of 5
A nurse is caring for a client who is experiencing an increase in intracranial pressure (ICP). The nurse should expect which of the following as an early manifestation of increased ICP?
Correct Answer: A
Rationale: Restlessness (
A) is an early sign of increased ICP due to cerebral irritation. Papilledema (
B), vomiting (
C), and posturing (
D) are later manifestations.
Question 3 of 5
A nurse is providing teaching to a client who is to start furosemide therapy for heart failure. Which of the following statements indicates that the client understands a potential adverse effect of this medication?
Correct Answer: C
Rationale: Cantaloupe (
C) is high in potassium, addressing hypokalemia, a furosemide side effect. Pulse checking (
A), low sodium (
B), and blood pressure monitoring (
D) are not directly tied to its adverse effects.
Question 4 of 5
A nurse is caring for a client in the ICU. The client's ECG monitor tracing reveals sinus bradycardia and ST segment elevation. The client reports shortness of breath and feeling dizzy and faint. Which of the following medications should the nurse administer?
Correct Answer: A
Rationale: Atropine (
A) treats symptomatic bradycardia, addressing dizziness and shortness of breath. Lidocaine (
B), digoxin (
C), and sotalol (
D) are inappropriate for acute bradycardia with ischemia.
Question 5 of 5
A nurse on a medical-surgical unit is planning care for a client who has dementia and a history of wandering. Which of the following actions should the nurse plan to implement?
Correct Answer: B
Rationale: A bed alarm (
B) enhances safety for wandering dementia clients. Chemical restraints (
A) are avoided, double rooms (
C) may confuse, and overstimulation (
D) can worsen behavior.