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 teaching a client who has hypothyroidism. Which of the following information should the nurse include in the teaching? (Select all that apply)
Correct Answer: B,C,E
Rationale: B. Hypothyroidism slows metabolism, leading to weight gain due to reduced calorie burning. C. Regular TSH and T4 tests monitor levothyroxine effectiveness, guiding dose adjustments. E. A high-fiber diet prevents constipation, a common complication from slowed gastrointestinal motility. A. Treatment is lifelong, not temporary, making this misleading. D. Increased perspiration is a hyperthyroidism symptom, not hypothyroidism.
Question 3 of 5
A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?
Correct Answer: C
Rationale: Acute gout is caused by elevated uric acid levels leading to crystal deposition in joints.
Question 4 of 5
A nurse in the emergency department is managing the care of a client who has an electrical shock injury. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Obtaining an ECG first assesses for cardiac arrhythmias caused by electrical injury.
Question 5 of 5
A nurse is caring for a client who has thrombocytopenia due to chemotherapy treatment. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A soft-bristled toothbrush minimizes gum trauma, reducing bleeding risk in thrombocytopenia, where low platelets impair clotting. B. Rectal suppositories risk mucosal tearing and bleeding. C. A low-residue diet is irrelevant to bleeding risk. D. Safety razors increase bleeding risk; electric razors are safer.