ATI RN
ATI RN Adult Medical Surgical 2023 Questions Questions
Extract:
Question 1 of 5
A nurse working in the emergency department is caring for a client who has a burn injury. After securing the client's airway, which of the following interventions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Start IV with a large-bore needle. This is the priority intervention because fluid resuscitation is crucial in managing burn injuries to prevent hypovolemic shock. Starting an IV line allows for prompt administration of fluids and medications. Administering analgesic medication (
A) can wait until after fluid resuscitation. Increasing room temperature (
B) is not a priority in burn management. Cleansing wounds (
C) can be done after fluid resuscitation. Starting the IV line with a large-bore needle (
D) takes precedence over other interventions to stabilize the client's condition.
Question 2 of 5
A nurse is reviewing the laboratory findings of a client who has a new diagnosis of Graves' disease. The nurse should anticipate which of the following laboratory values to be elevated?
Correct Answer: A
Rationale: The correct answer is A: Trisodothyronine 3. In Graves' disease, there is excessive production of thyroid hormones, including triiodothyronine (T3). Elevated T3 levels are common in hyperthyroidism, which is a hallmark of Graves' disease. T3 is the active form of thyroid hormone and is responsible for regulating metabolism. Phosphorus, calcium, and thyroid-stimulating hormone levels are typically not elevated in Graves' disease. Phosphorus and calcium are more related to bone health and are usually within normal limits unless complications arise. Thyroid-stimulating hormone levels are usually suppressed in hyperthyroidism, including Graves' disease.
Question 3 of 5
A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?
Correct Answer: C
Rationale: The correct answer is C: Uric acid. In acute gout, there is an increase in the production or decrease in the excretion of uric acid, leading to elevated levels in the blood. This results in the formation of urate crystals in the joints, causing inflammation and pain.
Choices A, B, and D are unrelated to acute gout. A chronic level (
Choice
A) does not indicate an acute condition. Creatinine kinase (
Choice
B) is an enzyme related to muscle damage, not specific to gout. Immac factor (
Choice
D) is not a relevant marker for acute gout.
Therefore, the correct answer is C as it directly correlates with the pathophysiology of acute gout.
Question 4 of 5
A nurse is caring for a client who is postoperative following an endoscopy with moderate (conscious) sedation. Which of the following assessment findings is the nurse's priority?
Correct Answer: A
Rationale: The correct answer is A: Gag reflex. The priority assessment for a client post-endoscopy with sedation is to ensure their airway is intact. The presence of a gag reflex indicates the airway protection mechanism is functional, reducing the risk of aspiration. Monitoring warmth of extremities, temperature, and pain level are important but secondary assessments compared to airway patency. Ensuring the client's safety and preventing respiratory compromise take precedence in this situation.
Question 5 of 5
A nurse is administering packed RBCs to a client. The client reports chills, lower back pain, and nausea 10 min after the infusion begins. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Stop the infusion. The client is showing signs of a transfusion reaction, which can be serious. Stopping the infusion is the first priority to prevent further complications. Vital signs should be checked next to assess the client's condition. Collecting a urine sample is not a priority in this situation. Administering oxygen may be necessary depending on the client's condition, but stopping the infusion takes precedence.