ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is using a ventilator when the low-pressure ventilator alarm sounds. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A low-pressure alarm typically indicates a disconnection or leak, so checking tubing connections is the first step to ensure proper ventilation.
Question 2 of 5
A nurse is assessing a client who has a herniated lumbar disc. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Tingling and burning in the foot indicate nerve compression from a herniated lumbar disc, a common symptom due to sciatic nerve irritation.
Question 3 of 5
A nurse is assessing a client who has had a left-hemisphere stroke. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Expressive aphasia results from left-hemisphere strokes, impairing speech production due to damage in language areas.
Question 4 of 5
A nurse is providing discharge teaching to a client who has acute leukemia and received chemotherapy 12 hours ago. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,E
Rationale: Using an electric shaver reduces the risk of bleeding due to low platelet counts post-chemotherapy. Avoiding crowds minimizes infection risk in immunocompromised patients. Monitoring for bruising helps detect bleeding complications early. Taking temperature weekly is insufficient, and a low-residue diet is not typically necessary.
Question 5 of 5
A nurse is caring for a client who had surgery 2 days ago and reports incisional pain. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Assessing the pain's characteristics and intensity first guides appropriate pain management interventions tailored to the client's needs.