ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client immediately following a lumbar puncture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Lying flat post-lumbar puncture prevents cerebrospinal fluid leakage, reducing headache risk. Tingling isn't expected, fluid intake supports hydration, and glucose monitoring is unrelated unless diabetes is present.
Question 3 of 5
A nurse is planning care for a client who has a seizure disorder. Which of the following equipment should the nurse place in the client's room?
Correct Answer: C
Rationale: An oral airway prevents airway obstruction during a seizure if inserted safely post-seizure. NG tubes are unrelated, restraints increase injury risk, and tongue blades are dangerous during seizures.
Question 4 of 5
A nurse in the emergency department is monitoring a client who is receiving dopamine to treat hypovolemic shock. Which of the following findings should the nurse identify as an indication for increasing the client's dopamine dosage?
Correct Answer: D
Rationale: Dopamine is used to treat hypovolemic shock by increasing blood pressure through vasoconstriction and improved cardiac output. A blood pressure of 90/50 mm Hg indicates hypotension, suggesting the current dose is insufficient, necessitating an increase.
Question 5 of 5
A nurse is caring for a client who has diabetic ketoacidosis secondary to an infection. Which of the following prescriptions is the highest priority?
Correct Answer: B
Rationale: Insulin reverses diabetic ketoacidosis by lowering glucose and stopping ketogenesis, addressing the life-threatening metabolic crisis. Cultures, fluids, and catheters support treatment but are secondary.