ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has a cervical spine injury and has a halo traction device in place. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Space for one finger ensures the vest fits properly without excessive pressure.
Question 2 of 5
A nurse is reviewing the laboratory findings of a client who has a new diagnosis of Graves' disease. The nurse should anticipate which of the following laboratory values to be elevated?
Correct Answer: B
Rationale: Graves' disease causes hyperthyroidism, elevating triiodothyronine (T3) levels.
Question 3 of 5
A nurse is assessing a client who received a purified protein derivative (PPD) skin test 48 hr ago and notes erythema with induration of 12 mm at the injection site. Which of the following instructions should the nurse provide to the client?
Correct Answer: B
Rationale: A 12 mm induration indicates a positive TB test, requiring provider follow-up.
Question 4 of 5
A nurse is assessing a client following extubation from a Ventilator. For which of the following findings should the nurse intervene immediately?
Correct Answer: C
Rationale: Stridor indicates airway obstruction post-extubation, requiring immediate intervention.
Question 5 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.