ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has just returned from surgery with an external fixator to the left tibia. Which of the following assessment findings requires immediate intervention by the nurse?
Correct Answer: D
Rationale: A capillary refill of 6 seconds indicates impaired circulation requiring immediate intervention.
Question 2 of 5
A nurse is planning care for a client who has a cervical spine injury and has a halo traction device in place. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Space for one finger ensures the vest fits properly without excessive pressure.
Question 3 of 5
A nurse is reviewing the laboratory findings of a client who has a new diagnosis of Graves' disease. The nurse should anticipate which of the following laboratory values to be elevated?
Correct Answer: B
Rationale: Graves' disease causes hyperthyroidism, elevating triiodothyronine (T3) levels.
Question 4 of 5
A nurse is assessing a client who received a purified protein derivative (PPD) skin test 48 hr ago and notes erythema with induration of 12 mm at the injection site. Which of the following instructions should the nurse provide to the client?
Correct Answer: B
Rationale: A 12 mm induration indicates a positive TB test, requiring provider follow-up.
Question 5 of 5
A nurse is assessing a client following extubation from a Ventilator. For which of the following findings should the nurse intervene immediately?
Correct Answer: C
Rationale: Stridor indicates airway obstruction post-extubation, requiring immediate intervention.