ATI RN
ATI RN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is 12 hr postoperative following a kidney transplant. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Hourly urine output monitoring is critical post-kidney transplant to assess graft function and detect complications early.
Question 2 of 5
A nurse is assessing a client who has myasthenia gravis. Which of the following client statements should indicate to the nurse that the client needs a referral for occupational therapy?
Correct Answer: C
Rationale: Difficulty with activities like brushing hair indicates impaired fine motor skills, warranting occupational therapy.
Question 3 of 5
A nurse is assessing a client who is 4 hr postoperative following arterial revascularization of the left femoral artery. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: B
Rationale: Pallor indicates potential vascular compromise, a critical finding requiring immediate reporting post-revascularization.
Question 4 of 5
A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Petechiae suggest thrombocytopenia; bleeding precautions minimize the risk of hemorrhage.
Question 5 of 5
A nurse is caring for a group of clients who are 12 hr postoperative. The nurse should identify that the client who had which of the following procedures is at risk for developing fat embolism syndrome?
Correct Answer: C
Rationale: Internal fixation of a hip fracture increases the risk of fat embolism syndrome due to bone marrow disruption.