ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that the client is discharged with which of the following types of pharmacologic therapy?
Correct Answer: C
Rationale: Antithrombotic therapy (e.g., aspirin) is standard post-ischemic stroke to prevent further clot formation.
Question 2 of 5
A client with a spinal cord injury is at risk for experiencing autonomic dysreflexia. The nurse would carefully monitor the client for which of the following manifestations?
Correct Answer: A
Rationale: Severe headache is a primary sign of autonomic dysreflexia due to sudden hypertension from unopposed sympathetic response.
Question 3 of 5
The nurse is caring for several clients on a hospital unit. Which of the following clients is most at risk for hypoglycemia?
Correct Answer: A
Rationale: Excess insulin in type 1 diabetes significantly increases hypoglycemia risk.
Question 4 of 5
A nurse is caring for a group of clients. From which of the following clients should the nurse obtain a blood pressure reading using only the left extremity?
Correct Answer: D
Rationale: An AV fistula in the right arm contraindicates BP measurement there; the left arm must be used to avoid damaging the fistula.
Question 5 of 5
A nurse is preparing to assist with an ocular irrigation for a client who had a chemical splash to the left eye. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Placing pH paper under the upper lid assesses the chemical's pH, guiding the irrigation process to neutralize the substance effectively.