ATI RN
ATI RN Adult Medical Surgical 2023 Questions Correct Answers 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: D
Rationale: The correct answer is D: Provide the client with a trapeze bar. This is essential for the client in skeletal traction to independently move and reposition themselves safely without putting additional stress on the affected leg. Using elbows (
A) can disrupt the traction. Removing weights (
B) can lead to complications. Checking pressure points (
C) is important but not specific to this situation. The trapeze bar (
D) promotes client independence and safety.
Question 2 of 5
A nurse is preparing to administer propranolol to several clients. For which of the following clients should the nurse clarify the prescription with the provider before administration?
Correct Answer: A
Rationale: The correct answer is A: A client who has a history of asthma. Propranolol is a non-selective beta-blocker that can potentially cause bronchoconstriction in clients with asthma due to its beta-2 antagonistic effects. The nurse should clarify the prescription with the provider for this client to avoid exacerbating respiratory issues.
Choices B, C, and D are not contraindications for propranolol administration, as hypertension, migraines, and stable angina are conditions that can be treated with beta-blockers. It is important for the nurse to assess each client's medical history and consider potential contraindications before administering medications to ensure client safety and optimal outcomes.
Question 3 of 5
A nurse is admitting a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Photophobia. Photophobia, or sensitivity to light, is a common symptom of meningitis due to inflammation of the meninges surrounding the brain and spinal cord. This occurs because bright light can worsen the headache associated with meningitis. Bradycardia and petechiae on the chest are not typical findings in meningitis. Intermittent headache is vague and not specific to meningitis.
Question 4 of 5
A nurse is caring for a client who has COPD. Which of the following findings require immediate follow-up?
Correct Answer: D
Rationale: The correct answer is D. Tachypnea, productive cough with yellow mucus in a client with COPD indicate a potential exacerbation requiring immediate follow-up. Tachypnea suggests respiratory distress, while yellow mucus may indicate infection. Prompt intervention can prevent worsening respiratory status.
Choices A, B, and C do not indicate acute respiratory distress. Option E may be concerning but doesn't necessitate immediate intervention like option D does.
Extract:
A client reports after eating breakfast this morning 0630hrs that they began feeling a tightness in the chest that radiates to the left arm. History: Hyperlipidemea, Hpertension, type 2 diabetes mellitus, Non- smoker, Denies use of alcohol or recreational drug abuse.
Time: 1000hrs Temperature, Heart Rate, Respiratory Rate, Blood Pressure, Oxygen Saturation 1000 37.1°C (98.8°F) 110/min (irregular) 24/min 164/80 mmHg 93% on room air 1015 36.7°C (98.2°F) 120/min (irregular) 22/min 176/82 mmHg 89% on room air. Time: 1015hrs Temperature, Heart Rate, Respiratory Rate, Blood Pressure,Oxygen Saturation 1000 37.1°C (98.8°F) 110/min (irregular) 24/min 164/80 mmHg 1015 36.7°C (98.2°F) 120/min (irregular) 22/min 176/82 mmHg 89% on room air 1200 36.7°C (98.2°F)
Question 5 of 5
Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: A, B, D,E
Rationale: The correct actions for the nurse to take are A, B, D, and E. A - anticipating client prep for cardiac catheterization is important for timely intervention. B - assisting with a continuous heparin infusion helps prevent blood clot formation during the procedure. D - anticipating an increase in metoprolol dosage is necessary to manage cardiac workload during the procedure. E - obtaining a prescription for NPO status is crucial to prevent complications during the procedure.
Choices C (encouraging ambulation) and F (requesting an antibiotic prescription) are not directly related to preparing for cardiac catheterization and may not be necessary in this context.