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 caring for a client who has a peripherally inserted central catheter (PICC) line in her left forearm. The client is receiving an antibiotic via intermittent IV bolus every 12 hr. Which of the following actions should the nurse take in managing the client's PICC line?
Correct Answer: D
Rationale: Flushing with saline after use prevents occlusion and maintains PICC patency. Non-coring needles are for ports, continuous infusion isn't required, and dressings are changed weekly or as needed, not daily.
Question 3 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 4 of 5
A nurse is caring for a client who is postoperative and develops respiratory depression after receiving morphine for pain control. Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: Morphine-induced respiratory depression is reversed by naloxone, an opioid antagonist. Diphenhydramine treats allergies, flumazenil reverses benzodiazepines, and calcium gluconate corrects hypocalcemia, none of which address opioid overdose.
Question 5 of 5
A nurse is caring for a client who has diabetic ketoacidosis secondary to an infection. Which of the following prescriptions is the highest priority?
Correct Answer: B
Rationale: Insulin reverses diabetic ketoacidosis by lowering glucose and stopping ketogenesis, addressing the life-threatening metabolic crisis. Cultures, fluids, and catheters support treatment but are secondary.