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 is a standard, safe painful stimulus for unresponsive patients.
Question 2 of 5
A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse plan to include?
Correct Answer: A
Rationale: A low bed height reduces fall risk, a priority in dementia care.
Question 3 of 5
A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hours. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Dyspnea and fluid imbalance suggest overload; slowing the infusion and notifying the provider are appropriate.
Question 4 of 5
A nurse is providing teaching to a client who is to start furosemide therapy for heart failure. Which of the following statements indicates that the client understands a potential adverse effect of this medication?
Correct Answer: A
Rationale: Furosemide causes potassium loss; adding potassium-rich cantaloupe shows understanding of this adverse effect.
Question 5 of 5
The nurse is instructing the client on the correct way to take nitroglycerin as needed for chest pain:
Correct Answer: D
Rationale: Sublingual nitroglycerin every 5 minutes up to 3 doses is the standard protocol for acute chest pain relief.