ATI RN
ATI RN Medical Surgical 2023 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: A,B,C
Rationale: Middle ear infections cause scarring, loop diuretics like furosemide are ototoxic, and eardrum perforation disrupts sound conduction, all contributing to hearing loss. High birth weight and low-volume noise are not significant risk factors.
Question 2 of 5
A charge nurse on a neurological unit is making room assignments for a group of clients. Which of the following clients should the nurse assign to the room closest to the nurses' station?
Correct Answer: D
Rationale: A Glasgow Coma Scale score of 10 indicates altered consciousness, requiring close monitoring for deterioration. A mild concussion, brain death, or resolved TIA are less acute, needing less immediate oversight.
Question 3 of 5
A nurse working in the emergency department is admitting a client who has pertussis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Pertussis is droplet-spread; a surgical mask protects during close contact. Mantoux tests TB, negative-pressure rooms are for airborne diseases, and antivirals don't treat bacterial pertussis.
Question 4 of 5
A nurse is caring for a client who has acute heart failure and received morphine IV 30 min ago. Which of the following findings should the nurse identify as an indication that the medication was effective?
Correct Answer: A
Rationale: Morphine in heart failure reduces preload and anxiety, improving comfort. Decreased anxiety indicates effectiveness. Vomiting, increased respiratory rate, or low urine output suggest other issues, not therapeutic response.
Question 5 of 5
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications?
Correct Answer: B
Rationale: Excessive thirst and high urinary output suggest diabetes insipidus from brainstem injury affecting antidiuretic hormone. Desmopressin replaces this hormone, reducing urine output. Other medications address unrelated conditions like shock, hypertension, or edema.