ATI RN
ATI RN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 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 hr. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Dyspnea and high blood pressure with low urine output suggest fluid overload; slowing the infusion and contacting the provider are appropriate to prevent worsening.
Question 2 of 5
A nurse is caring for a client immediately following a cardiac catheterization through the right femoral artery. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Keeping the affected leg straight prevents bleeding or hematoma formation at the catheterization site.
Question 3 of 5
A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?
Correct Answer: C
Rationale: Acute gout is caused by elevated uric acid levels, leading to crystal formation in joints.
Question 4 of 5
A nurse is providing teaching for the family of a client who has Alzheimer's disease. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Structured activities help maintain routine and reduce confusion in clients with Alzheimer's disease.
Question 5 of 5
A nurse is caring for a client who has a chest tube in the pleural space. The nurse notices continuous bubbling in the water seal chamber of the client's drainage system. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Continuous bubbling in the water seal chamber indicates an air leak; clamping the tubing helps identify the source.