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 providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Correct Answer: D
Rationale: Cloudy effluent is the earliest sign of peritonitis, indicating infection in the peritoneal cavity.
Question 3 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 angina pain by dilating coronary arteries, improving blood flow, and is the priority to address acute symptoms.
Question 4 of 5
A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse plan to include?
Correct Answer: C
Rationale: A low bed height reduces fall risk, a priority for dementia clients with impaired judgment.
Question 5 of 5
A nurse is planning care for a client who is postoperative following insertion of an arteriovenous graft in their left forearm. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Checking the distal pulse ensures adequate circulation and graft patency, critical for monitoring post-arteriovenous graft insertion.