ATI RN
ATI RN Adult Medical Surgical 2023 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: C
Rationale: Dyspnea and fluid overload signs require slowing the infusion and notifying the provider.
Question 2 of 5
A nurse is assessing a client who had a total thyroidectomy 4 hr ago. Which of the following findings should the nurse report?
Correct Answer: D
Rationale: Muscle twitching may indicate hypocalcemia due to parathyroid gland damage during thyroidectomy.
Question 3 of 5
A nurse is assessing a client who received a purified protein derivative (PPD) skin test 48 hr ago and notes erythema with induration of 12 mm at the injection site. Which of the following instructions should the nurse provide to the client?
Correct Answer: B
Rationale: A 12 mm induration indicates a positive TB test, requiring provider follow-up.
Question 4 of 5
A nurse is reviewing the laboratory findings of a client who has a new diagnosis of Graves' disease. The nurse should anticipate which of the following laboratory values to be elevated?
Correct Answer: B
Rationale: Graves' disease causes hyperthyroidism, elevating triiodothyronine (T3) levels.
Question 5 of 5
A nurse is caring for an older adult client who reports vaginal dryness and itching. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Decreasing estrogen levels in older adults cause vaginal dryness and itching.