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 caring for a client who is experiencing a seizure. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Lowering the client to the floor prevents injury, making it the first priority during a seizure.
Question 3 of 5
The nurse is caring for several clients on a hospital unit. Which of the following clients is most at risk for hypoglycemia?
Correct Answer: A
Rationale: Excess insulin in type 1 diabetes significantly increases hypoglycemia risk.
Question 4 of 5
A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal conduit. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Emptying at 2/3 full prevents leakage and maintains skin health.
Question 5 of 5
A nurse is reinforcing teaching with a client who has osteoporosis and is prescribed (Fosamax) alendronate 70 mg PO weekly. Which of the following statements by the client indicates a need for further instruction?
Correct Answer: B
Rationale: Alendronate should be taken with water, not milk, due to calcium interference with absorption; this indicates a need for further teaching.