ATI RN
ATI Adult Medical Surgical 2019 Questions
Question 1 of 5
A nurse is caring for a female client who has toxic shock syndrome. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale:
Toxic shock syndrome (TSS) is a life-threatening condition caused by bacterial toxins. A generalized rash resembling a sunburn is a hallmark symptom of TSS, often accompanied by high fever, hypotension, and other systemic symptoms. Elevated platelet count, decreased total bilirubin, and hypertension are not typical findings in TSS.
Question 2 of 5
A nurse is providing instructions about foot care for a client who has peripheral arterial disease. The nurse should identify which of the following statements by the client indicates an understanding of the teaching.
Correct Answer: B
Rationale: Applying a lubricating lotion to cracked areas on the soles of the feet helps maintain skin integrity and prevent complications in peripheral arterial disease (PA
D). Elevating the feet for long periods can reduce arterial blood flow, soaking in hot water risks burns due to reduced sensation, and using a heating pad can also cause burns.
Question 3 of 5
A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect as an indication the wound is healing?
Correct Answer: A
Rationale: Dark red granulation tissue indicates new connective tissue and blood vessel formation, a sign of wound healing. Light yellow exudate may suggest infection, dry brown eschar is dead tissue that hinders healing, and firm wound tissue is not a specific healing indicator.
Question 4 of 5
A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the following is the priority intervention by the nurse?
Correct Answer: D
Rationale: The priority in DKA is to restore intravascular volume with 0.9% sodium chloride to correct dehydration and improve perfusion. Checking potassium, administering bicarbonate, or starting insulin are important but secondary to fluid resuscitation.
Question 5 of 5
A nurse is providing discharge teaching to a client following a modified left radical mastectomy with a breast expander. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Expecting less than 25 mL of secretions per day in drainage devices indicates proper understanding of post-mastectomy care with a breast expander. Heavy arm exercises, waiting 2 months for saline, or keeping the arm flexed are not recommended.