ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). The client reports sharp lower abdominal pain. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Sharp abdominal pain may indicate catheter obstruction; checking urine output assesses for clots or blockages, the most urgent concern post-TURP.
Question 2 of 5
A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor. Which of the following should the nurse analyze to determine whether the client is experiencing a myocardial infarction?
Correct Answer: B
Rationale: ST segment elevation or depression indicates myocardial infarction due to ischemia. Other components reflect different cardiac functions.
Question 3 of 5
A nurse is caring for a client who is 6 hr postoperative following application of an external fixator for a tibial fracture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Palpating the dorsalis pedis pulse ensures circulation post-fixator application. Dependent positioning, gauze wrapping, or clamp adjustment risk complications.
Question 4 of 5
A nurse in an emergency department is caring for a client who has sinus bradycardia. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Measuring blood pressure assesses hemodynamic stability in sinus bradycardia, guiding further interventions like pacing or atropine.
Question 5 of 5
A nurse is caring for a client who understands a prescribed surgical procedure, but cannot read or write. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: If the client understands the procedure, they can sign with an X, respecting their autonomy. Involving others or notifying the team is unnecessary unless competence is in question.