ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 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 assists with safe repositioning, reducing strain on the traction system and promoting comfort.
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 causes hyperthermia due to excessive thyroid hormone, leading to increased temperature as a key manifestation.
Question 3 of 5
A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The rise and fall (tidaling) in the water-seal chamber reflect normal respiratory pressure changes during breathing.
Question 4 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: B
Rationale: Gout is caused by hyperuricemia, so elevated uric acid levels are expected in acute gout.
Question 5 of 5
A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that which of the following is the first sign of deteriorating neurological status?
Correct Answer: D
Rationale: Altered level of consciousness is the earliest sign of increased intracranial pressure, reflecting brain dysfunction.