ATI RN
ATI RN Adult Medical Surgical 2023 III 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,D,E
Rationale: Perforation of the eardrum, chronic middle ear infections, and loop diuretics (e.g., furosemide) can damage hearing structures or nerves, increasing hearing loss risk.
Question 2 of 5
A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion?
Correct Answer: C
Rationale: Cool, clammy skin is a classic sign of hypoglycemia due to the body's stress response and sweating.
Question 3 of 5
A nurse is caring for a client who has oral achalasia. The nurse should ask the client which of the following questions to assess their ability to swallow?
Correct Answer: B
Rationale: Achalasia causes difficulty in esophageal emptying, often leading to a sensation of food being stuck at the base of the throat.
Question 4 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: B
Rationale: Dyspnea and high blood pressure with low urine output suggest fluid overload; slowing the infusion and contacting the provider are appropriate to prevent worsening.
Question 5 of 5
A nurse is caring for a client immediately following a cardiac catheterization through the right femoral artery. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Keeping the affected leg straight prevents bleeding or hematoma formation at the catheterization site.