ATI RN
ATI RN Adult Medical Surgical 2023 I 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: A
Rationale: Muscle twitching may indicate hypocalcemia from parathyroid injury, a critical post-thyroidectomy complication.
Question 2 of 5
A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hours. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Dyspnea and fluid imbalance suggest overload; slowing the infusion and notifying the provider are appropriate.
Question 3 of 5
A nurse is assessing a client who has heart failure and a new prescription for metoprolol. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: C
Rationale: A heart rate of 48/min indicates bradycardia, a common adverse effect of metoprolol (a beta-blocker).
Question 4 of 5
A nurse working in the emergency department is admitting a client who has pertussis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Pertussis requires droplet precautions; a surgical mask is appropriate during close contact.
Question 5 of 5
A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory results should the nurse monitor to determine long-term glycemic control?
Correct Answer: A
Rationale: HbA1c reflects average blood glucose over 2-3 months, indicating long-term control.