ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving morphine through a PCA device. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Teaching the client to use the PCA ensures safe, patient-controlled pain management. Family shouldn't press the button, respiratory monitoring should be more frequent, and oral opioids aren't typically added with PCA.
Question 2 of 5
A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion?
Correct Answer: B
Rationale: Hypoglycemia causes sympathetic activation, leading to cold, clammy skin from sweating. Increased urine output, acetone breath, and Kussmaul respirations are associated with hyperglycemia or ketoacidosis.
Question 3 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 4 of 5
A nurse is providing teaching for a client who has diabetes mellitus about the self-administration of insulin. The client has prescriptions for regular and NPH insulins. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: When mixing regular and NPH insulin, regular (clear) insulin is drawn first to prevent contamination with NPH (cloudy), ensuring accurate dosing. Storing syringes needle-up, gentle rolling of NPH, and a 45-90° injection angle are correct, making other options incorrect.
Question 5 of 5
A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?
Correct Answer: C
Rationale: Fever, night sweats, and cough suggest possible tuberculosis, requiring airborne isolation in a private room. Ketoacidosis, fractures, and pneumonia don't typically require private rooms unless contagious.