ATI RN
ATI RN Adult Medical Surgical 2023 IV Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse plan to include?
Correct Answer: C
Rationale: A low bed height (
C) reduces fall risk in dementia clients.
Toileting every 2 hours (
A) is more appropriate, complete darkness (
B) may disorient, and sedatives (
D) are not first-line.
Question 2 of 5
A nurse is caring for a client following a cardiac catheterization who has hives and urticaria following administration of IV contrast dye. Which of the following medications should the nurse plan to administer?
Correct Answer: A
Rationale: Diphenhydramine (
A) treats allergic reactions like hives from contrast dye. Desmopressin (
B), spironolactone (
C), and metoclopramide (
D) do not address allergic symptoms.
Question 3 of 5
A nurse on a medical-surgical unit is planning care for a client who has dementia and a history of wandering. Which of the following actions should the nurse plan to implement?
Correct Answer: B
Rationale: A bed alarm (
B) alerts staff to wandering, enhancing safety. Chemical restraints (
A) are a last resort, double rooms (
C) may increase confusion, and overstimulation (
D) can exacerbate agitation.
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: C
Rationale: Respiratory status (
C) is critical in PACU to ensure airway patency and oxygenation post-anesthesia. Consciousness (
A), pain (
B), and surgical site (
D) are assessed but are secondary to breathing.
Question 5 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: A
Rationale: Restlessness (
A) is an early sign of increased ICP due to cerebral irritation. Papilledema (
B), vomiting (
C), and posturing (
D) are later manifestations.