ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that which of the following is the first sign of deteriorating neurological status?
Correct Answer: B
Rationale: Altered consciousness (e.g., confusion) is the earliest sign of worsening intracranial pressure, reflecting cerebral dysfunction before respirations, posturing, or pupil changes, which indicate later stages.
Question 3 of 5
A nurse is caring for a client in the ICU. The client's ECG monitor tracing reveals sinus bradycardia and ST segment elevation. The client reports shortness of breath and feeling dizzy and faint. Which of the following medications should the nurse administer?
Correct Answer: C
Rationale: Sinus bradycardia causing dizziness and shortness of breath indicates symptomatic hypotension. Atropine increases heart rate. Lidocaine and sotalol treat arrhythmias, and digoxin slows heart rate, worsening bradycardia.
Question 4 of 5
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates effectiveness of the teaching?
Correct Answer: D
Rationale: Antiviral therapy for genital herpes (e.g., acyclovir) is typically taken for a defined period, like 3 weeks for initial outbreaks, indicating understanding. Natural condoms don't prevent transmission, antibiotics are ineffective, and lesions resolve faster.
Question 5 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.