ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has oral achalasia. The nurse should ask the client which of the following questions to assess their ability to swallow?
Correct Answer: D
Rationale: Achalasia involves esophageal motility issues, often causing a sensation of food stuck at the throat base due to lower esophageal sphincter dysfunction. Burning, fullness, or pain are less specific to achalasia's swallowing difficulties.
Question 2 of 5
A nurse is teaching a client who has Graves' disease about recognizing the manifestations of thyroid storm. Which of the following findings should the nurse include in the teaching?
Correct Answer: B
Rationale: Thyroid storm, a hyperthyroid crisis, causes fever (increased temperature) due to excessive thyroid hormone. Tachycardia, agitation, and hypertension are also typical, not decreased heart rate, lethargy, or hypotension.
Question 3 of 5
A nurse is caring for a client who has skeletal traction applied to the left leg. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A trapeze bar aids mobility and repositioning, reducing complications in traction. Pressure points need more frequent checks, elbow repositioning risks misalignment, and removing weights disrupts traction.
Question 4 of 5
A nurse is caring for a client who has acute angina. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Nitroglycerin relieves acute angina by dilating coronary arteries, improving blood flow, and is the first action to alleviate chest pain. Aspirin, IV access, and blood pressure follow for further management.
Question 5 of 5
A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: During a seizure, the priority is safety. Clearing surrounding objects prevents injury from falls or collisions, taking precedence over other actions like lowering, loosening clothing, or taking vitals, which follow after ensuring safety.