ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is to start furosemide therapy for heart failure. Which of the following statements indicates that the client understands a potential adverse effect of this medication?
Correct Answer: B
Rationale: Furosemide, a diuretic, can cause hypokalemia. Including potassium-rich foods like cantaloupe indicates understanding of this risk. Limiting salt helps heart failure but isn't an adverse effect, pulse checking is unrelated, and furosemide lowers, not raises, blood pressure.
Question 2 of 5
A nurse is caring for a client who is postoperative and develops respiratory depression after receiving morphine for pain control. Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: Morphine-induced respiratory depression is reversed by naloxone, an opioid antagonist. Diphenhydramine treats allergies, flumazenil reverses benzodiazepines, and calcium gluconate corrects hypocalcemia, none of which address opioid overdose.
Question 3 of 5
A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: During a seizure, the priority is safety. Clearing surrounding objects prevents injury from falls or collisions, taking precedence over other actions like lowering, loosening clothing, or taking vitals, which follow after ensuring safety.
Question 4 of 5
A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspnoeic 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 hr. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Dyspnea, hypertension, and low urine output suggest fluid overload. Slowing the infusion and notifying the provider prevent worsening symptoms. Changing fluids, giving steroids, or lowering the bed don't address overload directly.
Question 5 of 5
A nurse is caring for a client who has a spinal cord injury and has developed autonomic dysreflexia. Identify the sequence of steps the nurse should take.
Order the Items
Source Container
Correct Answer: A,B,D,C
Rationale: Autonomic dysreflexia requires: 1) Upright positioning to lower blood pressure; 2) Checking bladder for distension, a common trigger; 3) Antihypertensive administration if severe; 4) Documenting risk to ensure ongoing monitoring.