ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Petechiae indicate thrombocytopenia, common in leukemia, increasing bleeding risk. Bleeding precautions (e.g., avoiding invasive procedures, using soft brushes) are essential to prevent hemorrhage, unlike the other options, which are irrelevant to this finding.
Question 2 of 5
A nurse is teaching a client who has asthma about how to use a metered-dose inhaler with a spacer. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Holding the breath for 10 seconds after inhaling allows the medication to deposit effectively in the lungs, enhancing absorption. Cleaning typically involves warm water, waiting time between puffs is usually 60 seconds, and a whistling sound indicates incorrect technique.
Question 3 of 5
A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The rise and fall (tidaling) in the water-seal chamber reflect intrapleural pressure changes during breathing, a normal finding. An air leak causes bubbling, full re-expansion stops tidaling, and high suction affects the suction chamber, not water-seal.
Question 4 of 5
A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the following factors should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Middle ear infections cause scarring, loop diuretics like furosemide are ototoxic, and eardrum perforation disrupts sound conduction, all contributing to hearing loss. High birth weight and low-volume noise are not significant risk factors.
Question 5 of 5
A nurse is providing teaching to a client who is to start furosemide therapy for heart failure. Which of the following statements indicates that the client understands a potential adverse effect of this medication?
Correct Answer: B
Rationale: Furosemide, a diuretic, can cause hypokalemia. Including potassium-rich foods like cantaloupe indicates understanding of this risk. Limiting salt helps heart failure but isn't an adverse effect, pulse checking is unrelated, and furosemide lowers, not raises, blood pressure.