ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates effectiveness of the teaching?
Correct Answer: D
Rationale: Antiviral therapy for genital herpes (e.g., acyclovir) is typically taken for a defined period, like 3 weeks for initial outbreaks, indicating understanding. Natural condoms don't prevent transmission, antibiotics are ineffective, and lesions resolve faster.
Question 2 of 5
A nurse is caring for a group of clients who are 12 hr postoperative. The nurse should identify that the client who had which of the following procedures is at risk for developing fat embolism syndrome?
Correct Answer: A
Rationale: Fat embolism syndrome is a risk after long bone or pelvic fractures, like hip fixation, due to fat globules entering the bloodstream. Rotator cuff, thyroid, or ear surgeries carry minimal risk for this complication.
Question 3 of 5
A nurse is providing discharge teaching to a client who is postoperative following a total hip arthroplasty. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: A raised toilet seat keeps hips above knees, preventing dislocation post-hip arthroplasty. Heat risks inflammation, moving the stronger leg first is for canes, and twisting increases dislocation risk.
Question 4 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 5 of 5
A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?
Correct Answer: B
Rationale: Gout results from hyperuricemia, causing uric acid crystal deposition in joints. Elevated uric acid levels confirm this, unlike chloride, creatinine kinase (muscle damage), or intrinsic factor (vitamin B12 absorption).