ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients who are 12 hr postoperative. The nurse should identify that the client who had which of the following procedures is at risk for developing fat embolism syndrome?
Correct Answer: A
Rationale: Fat embolism syndrome is a risk after long bone or pelvic fractures, like hip fixation, due to fat globules entering the bloodstream. Rotator cuff, thyroid, or ear surgeries carry minimal risk for this complication.
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: 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 3 of 5
A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?
Correct Answer: B
Rationale: Gout results from hyperuricemia, causing uric acid crystal deposition in joints. Elevated uric acid levels confirm this, unlike chloride, creatinine kinase (muscle damage), or intrinsic factor (vitamin B12 absorption).
Question 4 of 5
A nurse is caring for a client who has a spinal cord injury and has developed autonomic dysreflexia. Identify the sequence of steps the nurse should take.
Correct Answer: A,B,D,C
Rationale: Autonomic dysreflexia requires: 1) Upright positioning to lower blood pressure; 2) Checking bladder for distension, a common trigger; 3) Antihypertensive administration if severe; 4) Documenting risk to ensure ongoing monitoring.
Question 5 of 5
A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion?
Correct Answer: B
Rationale: Hypoglycemia causes sympathetic activation, leading to cold, clammy skin from sweating. Increased urine output, acetone breath, and Kussmaul respirations are associated with hyperglycemia or ketoacidosis.