ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse?
Correct Answer: C
Rationale: A 25-gauge needle is appropriate for subcutaneous heparin to minimize tissue trauma.
Question 2 of 5
A nurse is assessing a client following the administration of an initial dose of captopril. Which of the following findings indicates an anaphylactic response?
Correct Answer: A
Rationale: Laryngeal edema is a hallmark of anaphylaxis, a severe allergic reaction requiring immediate intervention.
Question 3 of 5
A nurse is caring for a client who has acute angina. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Nitroglycerin is the priority for acute angina to relieve chest pain by dilating coronary arteries, per acute coronary syndrome protocols.
Question 4 of 5
A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of the following findings should the nurse include as an indication that the client is no longer infectious?
Correct Answer: B
Rationale: Negative sputum cultures confirm the absence of active TB bacteria, indicating the client is no longer infectious.
Question 5 of 5
A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hours. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Dyspnea and fluid imbalance suggest overload; slowing the infusion and notifying the provider are appropriate.