ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has asthma about how to use a metered-dose inhaler with a spacer. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Holding the breath for 10 seconds after inhaling allows the medication to deposit effectively in the lungs, enhancing absorption. Cleaning typically involves warm water, waiting time between puffs is usually 60 seconds, and a whistling sound indicates incorrect technique.
Question 2 of 5
A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?
Correct Answer: D
Rationale: Furosemide reduces fluid overload in pulmonary edema, leading to weight loss from diuresis. A 1.8 kg loss indicates effective fluid removal, unlike persistent high respiratory rate, adventitious sounds, or elevated blood pressure, which suggest ongoing edema.
Question 3 of 5
A nurse is providing dietary instructions to a client who has cardiovascular disease. The nurse should identify that which of following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Canola oil is heart-healthy, low in saturated fats, supporting cardiovascular health. Canned vegetables are high in sodium, whole milk is high in fat, and 8 ounces of meat exceeds recommended portions.
Question 4 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 5 of 5
A nurse on a medical-surgical unit is planning care for a client who has dementia and a history of wandering. Which of the following actions should the nurse plan to implement?
Correct Answer: C
Rationale: A bed alarm alerts staff to wandering attempts, enhancing safety for a dementia client. Double rooms increase confusion, excessive stimulation causes agitation, and chemical restraints are a last resort.