ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A community health nurse is reviewing home care instructions with an older adult client who has a new diagnosis of heart failure. Which of the following is the priority topic for the nurse to review with the client?
Correct Answer: D
Rationale: Monitoring weight changes is the priority in heart failure to detect fluid retention early, as sudden weight gain indicates worsening condition. Exercise, sodium, and fluid intake are important but secondary.
Question 2 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 3 of 5
A nurse is providing discharge teaching for a client who has asthma and a new prescription for a metered-dose inhaler. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: Shaking the inhaler mixes the medication properly, ensuring effective delivery. Cleaning weekly, inhaling quickly, or waiting 15 seconds (should be 1 minute) are incorrect.
Question 4 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 5 of 5
A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Petechiae indicate thrombocytopenia, requiring bleeding precautions like using soft toothbrushes. Airborne precautions, blood typing, and avoiding IV pain meds are not relevant.