ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 of 5
A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the following factors should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Perforation of the eardrum and chronic middle ear infections directly damage hearing structures, and loop diuretics like furosemide are ototoxic. High birth weight and low-volume noise are not significant risk factors.
Question 2 of 5
A nurse is teaching a client who has AIDS and wishes to continue self-care at home despite living alone. Which of the following actions by the nurse demonstrates client advocacy?
Correct Answer: A
Rationale: A home health referral supports the client's desire for independence while ensuring safe care.
Question 3 of 5
A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic 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: C
Rationale: Dyspnea and fluid overload signs suggest slowing the infusion and notifying the provider to prevent worsening heart failure.
Question 4 of 5
A nurse is caring for a client following a cardiac catheterization who has hives and urticaria following administration of IV contrast dye. Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: Diphenhydramine treats allergic reactions like hives and urticaria caused by contrast dye.
Question 5 of 5
A nurse in the emergency department is evaluating a young adult client for bacterial meningitis. Which of the following actions should the nurse take as part of the focused assessment?
Correct Answer: C
Rationale: Nuchal rigidity is a classic sign of meningitis, assessed by resistance or pain when flexing the neck, indicating meningeal irritation.