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 postoperative following insertion of an arteriovenous graft in their left forearm. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Checking the distal pulse ensures adequate circulation and graft patency post-insertion.
Question 2 of 5
A nurse is teaching a client who has asthma about how to use a metered-dose inhaler with a spacer. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: Holding the breath for 10 seconds after inhaling allows the medication to deposit in the lungs.
Question 3 of 5
A nurse is caring for a client immediately following a lumbar puncture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Lying flat post-lumbar puncture reduces the risk of spinal headache due to cerebrospinal fluid leakage.
Question 4 of 5
A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The rise and fall of fluid in the water-seal chamber, called tidaling, reflects normal breathing patterns.
Question 5 of 5
A nurse is caring for a client who is postoperative following a complete thyroidectomy. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: Muscle twitching suggests hypocalcemia, a life-threatening complication post-thyroidectomy due to parathyroid injury.