ATI RN
ATI RN NSG Adult Medical-Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is ready to insert an indwelling urinary catheter for a female client. Which of the following instructions should the nurse provide to the client as the catheter is inserted?
Correct Answer: A
Rationale: Exhaling slowly relaxes the client, easing catheter insertion.
Question 2 of 5
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?
Correct Answer: B
Rationale: NSAID use is a well-known risk factor for peptic ulcers due to its effect on gastric mucosa.
Question 3 of 5
A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes edema of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Stopping the infusion and measuring arm circumference assesses for complications like infiltration or thrombosis.
Question 4 of 5
A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply.)
Correct Answer: A,B
Rationale: Measuring abdominal girth monitors ascites, and a low-sodium diet reduces fluid retention in cirrhosis.
Extract:
A nurse is caring for a client who has diabetes mellitus, type 1 Day 3 of hospital
0700
Temperature 37.3°C (981) Boot
Heart rate 121
118/62 mm Hg Temperature 30.8°
Be pressure 104mm Hg 0730
Fingerstick blood glucose, fasting 110 mg/dl. (74 to 106 mg/dL) NPH insulin 40 units subcutaneous administered into abdomen
0830
Client reports nausea with emesis: vomited morning meal 1130
Client reports feeling shaky, hungry, skin cool and diaphoretic Fingerstick blood glucose 55 mg/dL
HbA1c 8.01% (less than 7% greater than 129%)
Question 5 of 5
Select the findings that require immediate follow up
Correct Answer: A,B,E
Rationale: Low glucose (55 mg/dL), shakiness, and elevated heart rate (121) indicate hypoglycemia requiring immediate intervention.