ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A home health nurse is assessing the home environment of a client who has cystic fibrosis. Which of the following equipment should the nurse plan to recommend?
Correct Answer: B
Rationale: A chest physiotherapy vest loosens mucus in cystic fibrosis, improving lung function. Peak flow meters are for asthma, NG tubes for gastric issues, and chest tubes for pleural conditions.
Question 2 of 5
A nurse is providing discharge teaching to a client following a modified left radical mastectomy with breast expander. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Expecting less than 25 mL of secretions daily indicates proper wound healing and understanding of drainage device management. Waiting 2 months delays reconstruction, flexing the arm impairs drainage, and heavy weights risk incision strain.
Question 3 of 5
A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Holding breath for 3-5 seconds during incentive spirometry maximizes lung expansion. The mouthpiece should be in the mouth, exhalation is normal, and hand placement is unrelated.
Question 4 of 5
A nurse in a provider's office is caring for a client who has total vision loss and is the handler of a service dog. Which of the following actions should the nurse take to show consideration for the client and the service animal?
Correct Answer: B
Rationale: Consulting the client respects their control over the service dog, ensuring its work is not disrupted. Other actions may interfere with the dog's role.
Question 5 of 5
A nurse in the emergency department admitted a client who is having a myocardial infarction. The client has been placed on the heart monitor. Which of the following electrocardiogram strips is indicative of a myocardial infarction?
Correct Answer: C
Rationale: ST segment elevation on the ECG indicates myocardial infarction due to acute ischemia. Other strips may show different arrhythmias or normal rhythms.