ATI RN
ATI RN Medical Surgical 2023 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 graft patency and adequate circulation. Keeping the arm elevated reduces swelling, blood draws from the graft risk damage, and splinting is unnecessary unless mobility is impaired.
Question 2 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: A
Rationale: Hourly urine output monitoring detects early graft dysfunction, critical post-kidney transplant. Blood pressure checks should be more frequent, rejection causes other electrolyte issues, and IV opioids are preferred early post-op.
Question 3 of 5
A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that which of the following is the first sign of deteriorating neurological status?
Correct Answer: B
Rationale: Altered consciousness (e.g., confusion) is the earliest sign of worsening intracranial pressure, reflecting cerebral dysfunction before respirations, posturing, or pupil changes, which indicate later stages.
Question 4 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: A
Rationale: A low bed height reduces fall risk, critical for dementia clients with impaired judgment. Sedatives increase confusion, toileting every 2 hours prevents incontinence, and low lighting at night aids orientation.
Question 5 of 5
A nurse is caring for a client who has skeletal traction applied to the left leg. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A trapeze bar aids mobility and repositioning, reducing complications in traction. Pressure points need more frequent checks, elbow repositioning risks misalignment, and removing weights disrupts traction.