ATI RN
ATI RN 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 dyspnoeic 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: A
Rationale: Dyspnea, hypertension, and low urine output suggest fluid overload. Slowing the infusion and notifying the provider prevent worsening symptoms. Changing fluids, giving steroids, or lowering the bed don't address overload directly.
Question 2 of 5
A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse plan to include?
Correct Answer: A
Rationale: A low bed height reduces fall risk, critical for dementia clients with impaired judgment. Sedatives increase confusion, toileting every 2 hours prevents incontinence, and low lighting at night aids orientation.
Question 3 of 5
A nurse 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: Diaphoresis, palpitations, and exhaustion suggest hypoglycemia, common in type 1 diabetes if insulin isn't reduced before exercise, which increases glucose uptake. Other responses dismiss or misattribute the symptoms.
Question 4 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: D
Rationale: Muscle twitching post-thyroidectomy may indicate hypocalcemia due to parathyroid gland damage, leading to tetany or laryngospasm, which are life-threatening. This is a priority over common postoperative findings like drainage, pain, or nausea.
Question 5 of 5
A nurse is caring for a client who is using a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Turning off the CPM machine during eating prevents discomfort and ensures safety, allowing the client to focus on nutrition. Settings need more frequent checks, range increases gradually, and storage on the floor risks contamination.