ATI RN
ATI RN Adult Medical Surgical 2023 IV Questions
Extract:
Question 1 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: A
Rationale: Naloxone (
A) reverses opioid-induced respiratory depression. Flumazenil (
B) reverses benzodiazepines, calcium gluconate (
C) treats hypocalcemia, and diphenhydramine (
D) is for allergies.
Question 2 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: A
Rationale: Restlessness (
A) is an early sign of increased ICP due to cerebral irritation. Papilledema (
B), vomiting (
C), and posturing (
D) are later manifestations.
Question 3 of 5
A nurse in the PACU is caring for a client. Which of the following assessments is the nurse's priority?
Correct Answer: C
Rationale: Respiratory status (
C) is critical in PACU to ensure airway patency and oxygenation post-anesthesia. Consciousness (
A), pain (
B), and surgical site (
D) are assessed but are secondary to breathing.
Question 4 of 5
A nurse is triaging clients following a mass casualty accident. Which of the following clients should be the nurse's priority?
Correct Answer: C
Rationale: A client with a penetrating abdominal injury and hyperventilation (
C) indicates potential internal bleeding and shock, requiring immediate intervention. Fractures (
A), vomiting (
B), and lacerations (
D) are less immediately life-threatening.
Question 5 of 5
A nurse on a medical-surgical unit is planning care for a client who has dementia and a history of wandering. Which of the following actions should the nurse plan to implement?
Correct Answer: B
Rationale: A bed alarm (
B) alerts staff to wandering, enhancing safety. Chemical restraints (
A) are a last resort, double rooms (
C) may increase confusion, and overstimulation (
D) can exacerbate agitation.