ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 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.
Question 2 of 5
A PACU nurse is monitoring the drainage from a client's NG tube following abdominal surgery. Which of the following findings in the first postoperative hour should the nurse report to the provider?
Correct Answer: C
Rationale: Red drainage suggests active bleeding, requiring immediate reporting post-abdominal surgery. Serosanguineous, brown, or greenish drainage is expected initially, but bright red indicates a potential complication.
Question 3 of 5
A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: During a seizure, the priority is safety. Clearing surrounding objects prevents injury from falls or collisions, taking precedence over other actions like lowering, loosening clothing, or taking vitals, which follow after ensuring safety.
Question 4 of 5
A nurse is caring for a client immediately following a lumbar puncture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Lying flat post-lumbar puncture prevents cerebrospinal fluid leakage, reducing headache risk. Tingling isn't expected, fluid intake supports hydration, and glucose monitoring is unrelated unless diabetes is present.
Question 5 of 5
A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Correct Answer: C
Rationale: Cloudy effluent is the earliest sign of peritonitis in peritoneal dialysis, indicating infection before systemic symptoms like pain, fever, or tachycardia develop, allowing prompt intervention.