ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has left-sided heart failure. Which of the following findings should indicate to the nurse that the client is experiencing a decrease in cardiac output?
Correct Answer: D
Rationale: Dyspnea indicates decreased cardiac output due to pulmonary congestion in left-sided heart failure.
Extract:
Findings upon admission:
Vital Signs
Blood pressure 106/64 mm Hg
Heart rate 95/min
Respiratory rate 20/min
Temperature 37.8° C (100° F)
Oxygen saturation 95% on O, at 3 L/min via nasal cannula
Question 2 of 5
A nurse is caring for an older adult client who was admitted with a urinary tract infection. The nurse is assessing the client 12 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.
| Options | Unrelated to diagnosis | Indication of potential improvement | Indication of potential worsening condition |
|---|---|---|---|
| Disoriented to person, place, and time | |||
| Oxygen saturation 96% at 2 L/min via nasal cannula | |||
| Hct 45% | |||
| Butterfly rash | |||
| Blood pressure 100/50 mm Hg |
Correct Answer:
Rationale: Disorientation and low BP worsen UTI; improved O2 is a sign of improvement; Hct is normal; rash is unrelated.
Extract:
Question 3 of 5
A nurse is assessing a client who had a total thyroidectomy 4 hr ago. Which of the following findings should the nurse report?
Correct Answer: D
Rationale: Muscle twitching may indicate hypocalcemia due to parathyroid gland damage during thyroidectomy.
Question 4 of 5
A nurse is caring for a client who has an arterial line inserted in the radial artery. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Maintaining the pressure bag at 300 mm Hg ensures a slow flush to prevent clotting, keeping the arterial line patent. A. High-volume infusion risks fluid overload. B. Bearing down distorts readings. D. Transducer alignment at the phlebostatic axis, not radial artery, ensures accuracy.
Question 5 of 5
A nurse is providing discharge teaching to a client who had a bilateral orchiectomy. The nurse should instruct the client to expect which of the following symptoms?
Correct Answer: D
Rationale: Hot flashes occur due to decreased testosterone after bilateral orchiectomy.