ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: During a seizure, the priority is safety. Clearing surrounding objects prevents injury from falls or collisions, taking precedence over other actions like lowering, loosening clothing, or taking vitals, which follow after ensuring safety.
Question 2 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: A
Rationale: The rise and fall (tidaling) in the water-seal chamber reflect intrapleural pressure changes during breathing, a normal finding. An air leak causes bubbling, full re-expansion stops tidaling, and high suction affects the suction chamber, not water-seal.
Question 3 of 5
A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the following factors should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Middle ear infections cause scarring, loop diuretics like furosemide are ototoxic, and eardrum perforation disrupts sound conduction, all contributing to hearing loss. High birth weight and low-volume noise are not significant risk factors.
Question 4 of 5
A nurse enters a client's room and discovers the client's abdominal incision is open with the large intestine protruding through the opening. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Covering a dehiscence with saline-soaked gauze prevents tissue drying and infection, the first priority. Notifying the team, adjusting the bed, or preparing for surgery follow after stabilizing the wound.
Question 5 of 5
A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?
Correct Answer: C
Rationale: Fever, night sweats, and cough suggest possible tuberculosis, requiring airborne isolation in a private room. Ketoacidosis, fractures, and pneumonia don't typically require private rooms unless contagious.