ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has AIDS. Which of the following isolation precautions should the nurse implement?
Correct Answer: B
Rationale: Standard precautions are sufficient for AIDS (HIV), as it is transmitted via blood and body fluids, not through droplets or air.
Question 2 of 5
A nurse is performing an abdominal assessment for a client. Which of the following findings should the nurse identify as the priority?
Correct Answer: D
Rationale: Rebound tenderness indicates potential peritonitis or appendicitis, a critical finding requiring immediate attention.
Question 3 of 5
A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?
Correct Answer: D
Rationale: Fever, night sweats, and cough suggest possible tuberculosis, requiring airborne isolation in a private room.
Question 4 of 5
A nurse is caring for a group of clients. From which of the following clients should the nurse obtain a blood pressure reading using only the left extremity?
Correct Answer: D
Rationale: An AV fistula in the right arm contraindicates BP measurement there; the left arm must be used to avoid damaging the fistula.
Question 5 of 5
A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that which of the following is the first sign of deteriorating neurological status?
Correct Answer: C
Rationale: Altered level of consciousness is the earliest and most sensitive indicator of worsening intracranial pressure.