ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients. From which of the following clients should the nurse obtain a blood pressure reading using only the left extremity?
Correct Answer: D
Rationale: An AV fistula in the right arm contraindicates BP measurement there; the left arm must be used to avoid damaging the fistula.
Question 2 of 5
A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that which of the following is the first sign of deteriorating neurological status?
Correct Answer: C
Rationale: Altered level of consciousness is the earliest and most sensitive indicator of worsening intracranial pressure.
Question 3 of 5
A nurse is assessing a client who has myasthenia gravis. Which of the following client statements should indicate to the nurse that the client needs a referral for occupational therapy?
Correct Answer: C
Rationale: Difficulty with activities of daily living like brushing hair indicates a need for occupational therapy to improve upper extremity function.
Question 4 of 5
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates the effectiveness of the teaching?
Correct Answer: D
Rationale: Antiviral therapy for genital herpes typically lasts weeks; this statement reflects understanding of the treatment duration.
Question 5 of 5
A nurse is caring for a client who has acute angina. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Nitroglycerin is the priority for acute angina to relieve chest pain by dilating coronary arteries, per acute coronary syndrome protocols.