ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a female client who had a stroke. Which of the following findings should indicate to the nurse that the client has an increased risk of developing skin breakdown?
Correct Answer: D
Rationale: Low albumin levels indicate poor nutrition, increasing the risk of skin breakdown.
Extract:
History and Physical
1000:
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.
History:
Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.
Question 2 of 5
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Select the findings below that would indicate that the client has a potential problem
| Options | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Client reports tightness in chest that radiates to left arm. | |||
| States pain as 7 on a scale of 0 to 10. | |||
| Started to feel nauseous after breakfast. | |||
| Client is diaphoretic and short of breath. | |||
| Heart rate is irregular and tachycardic. | |||
| Lungs clear to auscultation in all lobes. | |||
| Skin is cool to touch. |
Correct Answer: A,B,C,D,E,G
Rationale: These findings suggest an acute cardiac event requiring immediate attention.
Extract:
Question 3 of 5
A nurse is assessing a client following extubation from a Ventilator. For which of the following findings should the nurse intervene immediately?
Correct Answer: C
Rationale: Stridor indicates airway obstruction post-extubation, requiring immediate intervention.
Question 4 of 5
A nurse is caring for a client who has left-sided heart failure. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: Left-sided heart failure leads to pulmonary congestion, which can cause daytime oliguria due to decreased renal perfusion.
Question 5 of 5
A nurse is caring for a client who has an arteriovenous graft. Which of the following findings indicates adequate circulation of the graft?
Correct Answer: D
Rationale: A palpable thrill indicates adequate blood flow through the arteriovenous graft.