ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 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: D
Rationale: Muscle twitching post-thyroidectomy may indicate hypocalcemia due to parathyroid gland damage, leading to tetany or laryngospasm, which are life-threatening. This is a priority over common postoperative findings like drainage, pain, or nausea.
Question 2 of 5
A nurse is caring for a client who is postoperative and develops respiratory depression after receiving morphine for pain control. Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: Morphine-induced respiratory depression is reversed by naloxone, an opioid antagonist. Diphenhydramine treats allergies, flumazenil reverses benzodiazepines, and calcium gluconate corrects hypocalcemia, none of which address opioid overdose.
Question 3 of 5
A nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that the client is discharged with which of the following types of pharmacologic therapy?
Correct Answer: D
Rationale: Antithrombotic therapy (e.g., aspirin) prevents recurrent ischemic strokes by reducing clot formation. Diuretics, anticonvulsants, or opioids are not routinely indicated unless specific complications like edema, seizures, or pain are present.
Question 4 of 5
A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of the following findings should the nurse include as an indication the client is no longer infectious?
Correct Answer: A
Rationale: Negative sputum cultures confirm no active TB bacteria, indicating non-infectiousness. Skin tests assess exposure, hemoptysis isn't a reliable indicator, and Quantiferon tests don't confirm active infection status.
Question 5 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.