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 who has a spinal cord injury and has developed autonomic dysreflexia. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: C,A,D,B
Rationale: Upright positioning (
C) reduces blood pressure, checking bladder (
A) addresses triggers, antihypertensives (
D) manage hypertension, and documentation (
B) follows treatment.
Question 3 of 5
A nurse in a clinic is assessing a client who has type 1 diabetes mellitus. The client is diaphoretic, has a heart rate of 92/min, and reports palpitations. The client states, 'I went for my morning run and feel exhausted.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Symptoms suggest hypoglycemia, common in type 1 diabetes post-exercise. Asking about insulin adjustment (
B) identifies potential causes. Routine exercise (
A), avoiding carbs (
C), or normalizing symptoms (
D) ignores the issue.
Question 4 of 5
A nurse is caring for a client who is experiencing an acute asthma attack. Which of the following should the nurse identify as a contributing factor to the client's manifestations?
Correct Answer: D
Rationale: Inability to exhale retained CO2 (
D) causes air trapping and hyperinflation in asthma due to bronchoconstriction. Airway responsiveness increases (A is incorrect), inflammation is heightened (B is incorrect), and alveolar elasticity loss (
C) is not acute in asthma.
Question 5 of 5
A nurse is caring for a client who has acute angina. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Nitroglycerin (
A) relieves angina pain by dilating coronary arteries, the priority. Blood pressure (
B), IV access (
C), and aspirin (
D) follow to stabilize and prevent progression.