ATI RN
ATI RN Adult Medical Surgical 2023 V 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, reflecting cerebral irritation before more severe symptoms appear.
Question 2 of 5
A nurse is caring for a client who is receiving mechanical ventilation when the low pressure alarm sounds on the ventilator. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A low pressure alarm suggests a cuff leak, allowing air to escape, requiring immediate evaluation.
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: B,C,E
Rationale: Perforation of the eardrum and chronic middle ear infections directly damage hearing structures, and loop diuretics like furosemide are ototoxic. High birth weight and low-volume noise are not significant risk factors.
Question 4 of 5
A nurse is planning care for a client who has a seizure disorder. Which of the following equipment should the nurse place in the client's room?
Correct Answer: A
Rationale: An oral airway can maintain airway patency during a seizure if inserted safely post-seizure.
Question 5 of 5
A nurse is caring for a client who is receiving morphine through a PCA device. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Teaching the client to use the PCA ensures safe, patient-controlled pain management.