ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?
Correct Answer: B
Rationale: Gout results from hyperuricemia, causing uric acid crystal deposition in joints. Elevated uric acid levels confirm this, unlike chloride, creatinine kinase (muscle damage), or intrinsic factor (vitamin B12 absorption).
Question 2 of 5
A nurse is planning care for a client who is postoperative following insertion of an arteriovenous graft in their left forearm. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Checking the distal pulse ensures graft patency and adequate circulation. Keeping the arm elevated reduces swelling, blood draws from the graft risk damage, and splinting is unnecessary unless mobility is impaired.
Question 3 of 5
A nurse is assessing a client who has type 1 diabetes mellitus. The client is diaphoretic, has a heart rate of 92/min, and reports palpitations. The client states, 'I went for my morning run and feel exhausted.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Diaphoresis, palpitations, and exhaustion suggest hypoglycemia, common in type 1 diabetes if insulin isn't reduced before exercise, which increases glucose uptake. Other responses dismiss or misattribute the symptoms.
Question 4 of 5
A nurse manager is providing an in-service to a group of newly licensed nurses about the use of personal protective equipment. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Goggles protect against splashes during wound irrigation, a correct PPE use. Recapping needles risks injury, sterile gloves aren't needed for IM injections, and gowns are unnecessary for routine linen changes.
Question 5 of 5
A nurse is assessing a client who has myasthenia gravis. Which of the following client statements should indicate to the nurse that the client needs a referral for occupational therapy?
Correct Answer: D
Rationale: Difficulty brushing hair indicates upper extremity weakness, which occupational therapy can address through adaptive techniques. Bladder issues, swallowing, and mobility require other interventions.