ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?
Correct Answer: B
Rationale: Fever, night sweats, and cough suggest a possible infectious disease like tuberculosis, requiring a private room to prevent spread. DKA, fractures, and aspiration pneumonia do not necessitate isolation.
Question 2 of 5
A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Inserting a large-bore nasogastric tube allows for gastric lavage and diagnosis of bleeding sources in upper GI bleeding. A 22-gauge IV is too small, ketorolac increases bleeding risk, and nitroprusside is not indicated.
Question 3 of 5
A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops to treat glaucoma. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Pressing gently near the tear ducts (nasolacrimal occlusion) prevents systemic absorption of betaxolol. Closing eyes for 5 minutes, tilting the head forward, or expecting blurred vision are not correct.
Question 4 of 5
A nurse finds a client in bed, unresponsive and breathing. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Palpating the carotid pulse assesses circulation in an unresponsive but breathing client, following the ABC (airway, breathing, circulation) priority. Monitoring, blood pressure, or IV access are secondary.
Question 5 of 5
A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances?
Correct Answer: A
Rationale: Banana allergy is associated with latex-fruit syndrome, increasing latex allergy risk. Anesthetics, povidone-iodine, and adhesive tape do not have this cross-reactivity.