ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is performing a fall risk assessment on a client. Which of the following findings indicates the client has an increased fall risk?
Correct Answer: B
Rationale: Urinary incontinence increases fall risk due to urgency and potential slips.
Extract:
Findings upon admission:
Vital Signs
Blood pressure 106/64 mm Hg
Heart rate 95/min
Respiratory rate 20/min
Temperature 37.8° C (100° F)
Oxygen saturation 95% on O, at 3 L/min via nasal cannula
Question 2 of 5
A nurse is caring for an older adult client who was admitted with a urinary tract infection. The nurse is assessing the client 12 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 |
|---|---|---|---|
| Disoriented to person, place, and time | |||
| Oxygen saturation 96% at 2 L/min via nasal cannula | |||
| Hct 45% | |||
| Butterfly rash | |||
| Blood pressure 100/50 mm Hg |
Correct Answer:
Rationale: Disorientation and low BP worsen UTI; improved O2 is a sign of improvement; Hct is normal; rash is unrelated.
Extract:
Question 3 of 5
A nurse is caring for a client who has moderate Alzheimer's disease. During weekly home visits, the nurse notices that the client's caregiver is tired, irritable, and impatient with the client. Which of the following actions should the nurse recommend to the caregiver?
Correct Answer: D
Rationale: Respite care provides relief for caregivers, reducing burnout.
Question 4 of 5
A nurse is assessing a client who has anorexia. Which of the following findings should the nurse identify as a manifestation of malnutrition?
Correct Answer: A
Rationale: Alopecia is a common sign of malnutrition due to protein deficiency.
Question 5 of 5
A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Limiting visitor time reduces radiation exposure during brachytherapy.