ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is performing a cranial nerve assessment on a client following a head injury. Which of the following findings should the nurse expect if the client has impaired function of the vestibulocochlear nerve (cranial nerve VIII)?
Correct Answer: C
Rationale: The vestibulocochlear nerve (cranial nerve VIII) is responsible for balance and hearing; impaired function leads to disequilibrium with movement.
Question 2 of 5
A nurse is planning care for a client who has developed nephrotic syndrome. Which of the following dietary recommendations should the nurse include?
Correct Answer: B
Rationale: Decreasing protein intake reduces proteinuria in nephrotic syndrome.
Extract:
History and Physical
1000:
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.
History:
Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.
Question 3 of 5
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Select the findings below that would indicate that the client has a potential problem
| Options | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Client reports tightness in chest that radiates to left arm. | |||
| States pain as 7 on a scale of 0 to 10. | |||
| Started to feel nauseous after breakfast. | |||
| Client is diaphoretic and short of breath. | |||
| Heart rate is irregular and tachycardic. | |||
| Lungs clear to auscultation in all lobes. | |||
| Skin is cool to touch. |
Correct Answer: A,B,C,D,E,G
Rationale: These findings suggest an acute cardiac event requiring immediate attention.
Extract:
Question 4 of 5
A nurse is caring for a client who has an arterial line inserted in the radial artery. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Maintaining the pressure bag at 300 mm Hg ensures a slow flush to prevent clotting, keeping the arterial line patent. A. High-volume infusion risks fluid overload. B. Bearing down distorts readings. D. Transducer alignment at the phlebostatic axis, not radial artery, ensures accuracy.
Extract:
Physical Examination
Jaundice
Orange-brown colored urine
Positive hemoccult blood
Abdominal distention
Lethargy
1+ edema
Oriented x4
Tachydysrhythmia
Dyspnea with exertion
A nurse is admitting a middle adult client who has cirrhosis. Findings upon admission:
Question 5 of 5
A nurse is admitting a middle adult client who has cirrhosis. Findings upon admission: The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.
| Options | Unrelated to diagnosis | Indication of Potential Improvement | Indication of Potential Worsening Condition |
|---|---|---|---|
| Spontaneous bruising | |||
| Ascites | |||
| Increased albumin level | |||
| Hematemesis | |||
| Elevated iron levels |
Correct Answer:
Rationale: Spontaneous bruising and hematemesis worsen cirrhosis; ascites is related; increased albumin improves; iron is unrelated.