ATI RN
ATI RN Medical Surgical 2023 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: D
Rationale: Antithrombotic therapy (e.g., aspirin) prevents recurrent ischemic strokes by reducing clot formation. Diuretics, anticonvulsants, or opioids are not routinely indicated unless specific complications like edema, seizures, or pain are present.
Question 2 of 5
A nurse is caring for a client who has emphysema. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: Pursed-lip breathing with prolonged exhalation (not inhalation) improves gas exchange in emphysema by preventing airway collapse. Low-flow oxygen, incentive spirometry, and adequate fluids are also appropriate but less specific.
Question 3 of 5
A nurse is assessing a client who has heart failure and a new prescription for metoprolol. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: C
Rationale: Metoprolol, a beta-blocker, slows heart rate. A heart rate of 48/min indicates bradycardia, a common adverse effect requiring monitoring or dose adjustment, unlike the other findings, which are not directly related to metoprolol.
Question 4 of 5
A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the following factors should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Middle ear infections cause scarring, loop diuretics like furosemide are ototoxic, and eardrum perforation disrupts sound conduction, all contributing to hearing loss. High birth weight and low-volume noise are not significant risk factors.
Question 5 of 5
A nurse is teaching a client who has left-sided weakness how to use a quad cane. Which of the following client actions indicates an understanding of the teaching?
Correct Answer: C
Rationale: Holding the quad cane in the stronger (left) hand provides support for the weaker right side, ensuring stability. Moving 2 feet is excessive, stepping right first or advancing the weak leg incorrectly disrupts balance.