ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing an increase in intracranial pressure (ICP). The nurse should expect which of the following as an early manifestation of increased ICP?
Correct Answer: B
Rationale: Restlessness is an early sign of increased ICP due to cerebral irritation.
Question 2 of 5
A nurse in the emergency department is evaluating a young adult client for bacterial meningitis. Which of the following actions should the nurse take as part of the focused assessment?
Correct Answer: C
Rationale: Nuchal rigidity is a classic sign of meningitis due to meningeal irritation.
Question 3 of 5
A nurse is planning care for a client who is 12 hours postoperative following a kidney transplant. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Hourly urine output monitoring detects early signs of graft dysfunction.
Question 4 of 5
A nurse is teaching a client who has asthma about how to use a metered-dose inhaler with a spacer. Which of the following pieces of information should the nurse include in the teaching?
Correct Answer: B
Rationale: Holding the breath for 10 seconds allows medication deposition in the lungs.
Question 5 of 5
A nurse is caring for a client who is postoperative following a complete thyroidectomy. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: Muscle twitching may indicate hypocalcemia from parathyroid injury, a critical post-thyroidectomy complication.