ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A patient is exhibiting an altered level of consciousness and is unresponsive to verbal stimuli. To elicit a response from a painful stimulus, the nurse would:
Correct Answer: B
Rationale: Pinching the trapezius muscle is a safe, effective method to assess response to pain in an unresponsive patient.
Question 2 of 5
A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of the following findings should the nurse include as an indication that the client is no longer infectious?
Correct Answer: B
Rationale: Negative sputum cultures definitively indicate the client is no longer contagious with TB.
Question 3 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: B,C,E
Rationale: Chronic ear infections, eardrum perforation, and loop diuretics (ototoxic) are known risk factors for hearing loss.
Question 4 of 5
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse?
Correct Answer: C
Rationale: A 25-gauge needle is appropriate for subcutaneous heparin to minimize tissue trauma.
Question 5 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.