ATI RN
ATI n120 Med Surg Exam Questions
Extract:
Question 1 of 5
Which action should the nurse take first when discovering a fire in the client's bathroom trash can?
Correct Answer: B
Rationale: Removing the client to safety is the priority to prevent injury, before pulling alarms, extinguishing, or closing doors.
Question 2 of 5
The nurse is caring for a client in the emergency department who is experiencing facial droop and slurred speech orally. The physician ordered aspirin to be given orally. What should the nurse do?
Correct Answer: C
Rationale: Evaluating the patient's ability to swallow is critical due to potential dysphagia indicated by facial droop and slurred speech, which could lead to aspiration if medications are given orally without assessment.
Question 3 of 5
The nurse cares for a client who is a pale and reports frequent fatigue, weakness and dizziness. Which serum laboratory test result is the nurse's priority for planning care?
Correct Answer: C
Rationale: A hemoglobin of 9 g/dl indicates anemia, likely causing the symptoms, requiring priority intervention to address oxygenation, unlike the other normal results.
Question 4 of 5
A client is tested for human immunodeficiency virus (HIV) infection with an enzyme- linked immunosorbent assay (ELISA), and the test result & positive. What would the nurse tell the client?
Correct Answer: D
Rationale: A positive ELISA requires confirmation with a Western blot test to rule out false positives, ensuring accurate HIV diagnosis.
Question 5 of 5
The nurse is assigned to care for a client in traction. The nurse creates a plan of a care for the client and would include which action in the pian?
Correct Answer: C
Rationale: Checking weights to hang freely ensures proper traction alignment, unlike inappropriate actions like removing traction or adjusting weights without orders.