ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is providing discharge teaching to a client who is postoperative following a total hip arthroplasty. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: A raised toilet seat keeps hips above knees, preventing dislocation post-hip arthroplasty. Heat risks inflammation, moving the stronger leg first is for canes, and twisting increases dislocation risk.
Question 3 of 5
A nurse is caring for a client who has acute angina. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Nitroglycerin relieves acute angina by dilating coronary arteries, improving blood flow, and is the first action to alleviate chest pain. Aspirin, IV access, and blood pressure follow for further management.
Question 4 of 5
A nurse in the emergency department is monitoring a client who is receiving dopamine to treat hypovolemic shock. Which of the following findings should the nurse identify as an indication for increasing the client's dopamine dosage?
Correct Answer: D
Rationale: Dopamine is used to treat hypovolemic shock by increasing blood pressure through vasoconstriction and improved cardiac output. A blood pressure of 90/50 mm Hg indicates hypotension, suggesting the current dose is insufficient, necessitating an increase.
Question 5 of 5
A nurse is assessing a client who has skeletal traction for a femoral fracture. The nurse notes that the weights are resting on the floor. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Weights resting on the floor indicate insufficient traction. Removing a weight temporarily allows repositioning to restore proper traction force. Pulling the client, elevating the extremity, or tying knots disrupts alignment or traction efficacy.