ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 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.
Question 2 of 5
A client with a spinal cord injury is at risk for experiencing autonomic dysreflexia. The nurse would carefully monitor the client for which of the following manifestations?
Correct Answer: A
Rationale: Severe headache is a primary sign of autonomic dysreflexia due to sudden hypertension from unopposed sympathetic response.
Question 3 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 4 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 5 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.