ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has increased intracranial pressure (ICP). Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: Keeping the neck in a midline position helps ensure proper venous drainage from the brain, reducing intracranial pressure. This is a standard practice in managing patients with elevated ICP.
Question 2 of 5
A nurse is caring for a client who has a peripherally inserted central catheter (PICC). For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: An increase in the circumference of the client's upper arm by 10% can indicate swelling, which may be a sign of complications such as infection, thrombosis, or infiltration. This finding should be promptly reported to the provider for further evaluation and intervention.
Question 3 of 5
A nurse in a rural community is providing education to a group of clients about first aid interventions for snake bites to prevent further injury. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Immobilizing the affected limb with a splint slows venom spread by reducing movement, minimizing systemic circulation.
Question 4 of 5
A nurse is caring for a client who has chronic kidney disease. Which of the following diets should the nurse anticipate the provider to prescribe?
Correct Answer: B
Rationale: A potassium-restricted diet is necessary to prevent hyperkalemia, as CKD impairs potassium excretion, which can lead to dangerous cardiac complications.
Question 5 of 5
A nurse is teaching a client who has glaucoma and is to start taking timolol. Which of the following information should the nurse include?
Correct Answer: B
Rationale: Timolol, a beta-blocker, can cause systemic side effects like bradycardia, so monitoring heart rate is important.