ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Correct Answer: C
Rationale: Cloudy effluent is the earliest sign of peritonitis in peritoneal dialysis, indicating infection before systemic symptoms like pain, fever, or tachycardia develop, allowing prompt intervention.
Question 2 of 5
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications?
Correct Answer: B
Rationale: Excessive thirst and high urinary output suggest diabetes insipidus from brainstem injury affecting antidiuretic hormone. Desmopressin replaces this hormone, reducing urine output. Other medications address unrelated conditions like shock, hypertension, or edema.
Question 3 of 5
A nurse is caring for a client who is experiencing an increase in intracranial pressure (ICP). The nurse should expect which of the following as an early manifestation of increased ICP?
Correct Answer: B
Rationale: Restlessness is an early sign of increased ICP due to cerebral irritation, preceding more severe signs like posturing, vomiting, or papilledema, which indicate advanced neurological compromise.
Question 4 of 5
A nurse is caring for a client immediately following a cardiac catheterization through the right femoral artery. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Keeping the leg straight prevents bleeding or hematoma at the femoral puncture site post-catheterization. Hourly vitals are insufficient, 45° elevation risks clot dislodgement, and fluid restriction is unnecessary unless specified.
Question 5 of 5
A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A second pair of gloves protects the nurse if a radiation implant dislodges, minimizing exposure. Visit limits are stricter, dosimeters are personal, and linens are bagged until radiation safety clears them.