ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Question 1 of 5
A nurse is preparing to discharge a client who has a halo device and is reviewing new prescriptions from the provider. The nurse should clarify which of the following prescriptions with the provider?
Correct Answer: A
Rationale: Driving with a halo device is unsafe due to restricted neck movement; this prescription requires clarification. Other instructions are appropriate for halo device care.
Question 2 of 5
A nurse is assessing a client who is receiving valsartan to treat heart failure. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: D
Rationale: Valsartan lowers blood pressure by blocking angiotensin II, reducing cardiac workload in heart failure. Decreased urine output, increased heart rate, or potassium levels suggest worsening or adverse effects.
Question 3 of 5
A nurse is preparing to administer a unit of packed RBCS to a client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: A 20-gauge or larger needle is required to prevent hemolysis during RBC transfusion. Y tubing is unnecessary, transfusion should take 2-4 hours, and vital signs are monitored before, during, and after.
Question 4 of 5
A nurse is administering packed RBCs to a client. The client reports chills, lower back pain, and nausea 10 min after the infusion begins. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Chills, back pain, and nausea suggest a hemolytic transfusion reaction; stopping the infusion prevents further exposure to incompatible blood.
Question 5 of 5
A nurse is caring for a client who has been receiving total parenteral nutrition (TPN) for 1 week. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: A calcium level of 11.5 mg/dL indicates hypercalcemia, a TPN complication that may require formula adjustment or diuretics. Other findings are within normal or expected ranges for TPN.