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 suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion?
Correct Answer: B
Rationale: Hypoglycemia causes sympathetic activation, leading to cold, clammy skin from sweating. Increased urine output, acetone breath, and Kussmaul respirations are associated with hyperglycemia or ketoacidosis.
Question 3 of 5
A nurse is caring for a group of clients who are 12 hr postoperative. The nurse should identify that the client who had which of the following procedures is at risk for developing fat embolism syndrome?
Correct Answer: A
Rationale: Fat embolism syndrome is a risk after long bone or pelvic fractures, like hip fixation, due to fat globules entering the bloodstream. Rotator cuff, thyroid, or ear surgeries carry minimal risk for this complication.
Question 4 of 5
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates effectiveness of the teaching?
Correct Answer: D
Rationale: Antiviral therapy for genital herpes (e.g., acyclovir) is typically taken for a defined period, like 3 weeks for initial outbreaks, indicating understanding. Natural condoms don't prevent transmission, antibiotics are ineffective, and lesions resolve faster.
Question 5 of 5
A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A second pair of gloves protects the nurse if a radiation implant dislodges, minimizing exposure. Visit limits are stricter, dosimeters are personal, and linens are bagged until radiation safety clears them.