ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who is experiencing an increase in intracranial pressure (ICP). The nurse should expect which of the following as an early manifestation of increased ICP?
Correct Answer: B
Rationale: Restlessness is an early sign of increased ICP due to cerebral irritation, preceding more severe signs like posturing, vomiting, or papilledema, which indicate advanced neurological compromise.
Question 3 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 4 of 5
A nurse is caring for a client who is postoperative and develops respiratory depression after receiving morphine for pain control. Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer: C
Rationale: Morphine-induced respiratory depression is reversed by naloxone, an opioid antagonist. Diphenhydramine treats allergies, flumazenil reverses benzodiazepines, and calcium gluconate corrects hypocalcemia, none of which address opioid overdose.
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and has a referral for dietary consult. The client tells the nurse, 'I will have to eat whatever the dietitian tells me.' Which of the following statements by the nurse encourages the client's involvement in their plan of care?
Correct Answer: A
Rationale: Offering to list preferred foods involves the client in planning, promoting adherence. Other options acknowledge feelings or state facts but don't actively engage the client in decision-making.