ATI RN
ATI Adult Medical Surgical 2019 Questions
Question 1 of 5
A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and tachypnea. In which of the following positions should the nurse place the client?
Correct Answer: C
Rationale: Elevating the feet improves blood flow to vital organs in hypovolemic shock. High-Fowler's, side-lying, and Reverse Trendelenburg do not address hypotension effectively.
Question 2 of 5
A nurse is monitoring a client who is receiving 2 units of packed RBCs. Which of the following manifestations indicates a hemolytic transfusion reaction?
Correct Answer: A
Rationale: Back pain is a specific early sign of a hemolytic transfusion reaction due to immune-mediated destruction of transfused RBCs. Bradycardia, hypertension, and chills are less specific.
Question 3 of 5
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates the effectiveness of the teaching?
Correct Answer: B
Rationale: Expecting lesions to resolve in 6 weeks aligns with the healing timeline for genital herpes. Antibiotics are ineffective, natural skin condoms don't prevent transmission, and medication duration varies.
Question 4 of 5
A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye. Which of the following actions should the nurse plan to take first?
Correct Answer: D
Rationale: Collecting information about the irritant guides appropriate irrigation. pH testing, anesthetic drops, and saline irrigation follow this step.
Question 5 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: B
Rationale: Assessing the gag reflex is the priority post-endoscopy with sedation to ensure safe swallowing before eating or drinking. Pain, extremity warmth, and temperature are secondary.