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 completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Wearing gloves and handwashing when changing litter prevents toxoplasmosis, a risk in AIDS due to immunosuppression. Alcohol is insufficient for body fluids, dry cleaning isn't needed, and diet alone doesn't address infection risk.
Question 3 of 5
A nurse is caring for a client who is experiencing an increase in intracranial pressure (ICP). The nurse should expect which of the following as an early manifestation of increased ICP?
Correct Answer: B
Rationale: Restlessness is an early sign of increased ICP due to cerebral irritation, preceding more severe signs like posturing, vomiting, or papilledema, which indicate advanced neurological compromise.
Question 4 of 5
A nurse in the PACU is caring for a client. Which of the following assessments is the nurse's priority?
Correct Answer: D
Rationale: Respiratory status is the priority in the PACU, as airway obstruction or depression can be life-threatening post-anesthesia. Consciousness, surgical site, and pain are assessed after ensuring airway and breathing stability.
Question 5 of 5
A nurse is caring for a client who is postoperative and develops respiratory depression after receiving morphine for pain control. Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: Morphine-induced respiratory depression is reversed by naloxone, an opioid antagonist. Diphenhydramine treats allergies, flumazenil reverses benzodiazepines, and calcium gluconate corrects hypocalcemia, none of which address opioid overdose.