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.
Question 2 of 5
A nurse is caring for a client following an insertion of a chest tube drainage system for a pneumothorax. Which of the following manifestations should the nurse expect the client to demonstrate?
Correct Answer: A
Rationale: Gentle bubbling in the water seal chamber indicates the chest tube is functioning properly.
Question 3 of 5
A nurse is caring for a client after total hip replacement surgery. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: An elevated toilet seat prevents hip flexion beyond 90 degrees, reducing dislocation risk.
Question 4 of 5
A nurse is assessing a client who had a total thyroidectomy 4 hr ago. Which of the following findings should the nurse report?
Correct Answer: D
Rationale: Muscle twitching may indicate hypocalcemia due to parathyroid gland damage during thyroidectomy.
Question 5 of 5
A nurse is assessing a female client who has pneumonia. The nurse should identify which of the following findings increases the client's risk of skin breakdown?
Correct Answer: B
Rationale: Weight loss increases skin breakdown risk due to reduced padding over bony prominences.