ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who had surgery 2 days ago and reports incisional pain. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Assessing the pain's characteristics and intensity first guides appropriate pain management interventions tailored to the client's needs.
Question 3 of 5
A nurse is caring for a client who is postoperative immediately following a pheochromocytoma removal. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Monitoring blood pressure is critical post-pheochromocytoma removal due to potential hemodynamic instability from catecholamine fluctuations.
Question 4 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 5 of 5
A nurse is monitoring a client who has a traumatic brain injury and a ventriculostomy drain. The nurse should report which of the following findings as a complication of this therapeutic procedure? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Infection is a significant risk with ventriculostomy drains due to the invasive nature of the procedure. Vomiting and widening pulse pressure can indicate increased intracranial pressure, a serious complication requiring immediate attention. Equal pupils and normal ICP readings are not complications.