ATI RN
ATI RN Adult Medical Surgical 2023 I 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 hours. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Signs of fluid overload require slowing the infusion and notifying the provider for further management.
Question 2 of 5
A patient is exhibiting an altered level of consciousness and is unresponsive to verbal stimuli. To elicit a response from a painful stimulus, the nurse would:
Correct Answer: B
Rationale: Pinching the trapezius is a standard, safe painful stimulus for unresponsive patients.
Question 3 of 5
A nurse is reviewing orders for a patient in anaphylactic shock. Which medication should the nurse plan to administer first?
Correct Answer: B
Rationale: Epinephrine is the first-line treatment for anaphylactic shock to reverse airway constriction and hypotension.
Question 4 of 5
A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal conduit. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Emptying at 2/3 full prevents leakage and maintains skin health.
Question 5 of 5
A nurse in a clinic is assessing a client who has type 1 diabetes mellitus. The client is diaphoretic, has a heart rate of 92/min, and reports palpitations. The client states, 'I went for my morning run and feel exhausted.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Symptoms suggest hypoglycemia; reducing insulin before exercise helps prevent this in type 1 diabetes.