ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 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 the client is no longer infectious?
Correct Answer: A
Rationale: Negative sputum cultures confirm no active TB bacteria, indicating non-infectiousness. Skin tests assess exposure, hemoptysis isn't a reliable indicator, and Quantiferon tests don't confirm active infection status.
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 admitting a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Photophobia is a hallmark of meningitis due to meningeal irritation, unlike intermittent headaches (less specific), petechiae (specific to certain types), or bradycardia (more associated with increased ICP).
Question 4 of 5
A nurse is caring for a client who has been prescribed an antibiotic. The client tells the nurse, 'I don't like taking medications because I don't think I need them.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Explaining the necessity of the antibiotic addresses the client's concern while reinforcing the provider's rationale, encouraging adherence. Other responses dismiss the concern or make assumptions.
Question 5 of 5
A nurse is caring for a client who is postoperative following a complete thyroidectomy. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Muscle twitching post-thyroidectomy may indicate hypocalcemia due to parathyroid gland damage, leading to tetany or laryngospasm, which are life-threatening. This is a priority over common postoperative findings like drainage, pain, or nausea.