ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A home health nurse is providing care to an older adult client during the winter. During an in-home visit, the nurse notes that the thermostat is set to 12.8° C (55° F). The client tells the nurse, 'I keep the heat set low because I can't afford to pay the bill.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Contacting Health and Human Services provides access to heating assistance, mitigating hypothermia risk in older adults.
Question 2 of 5
A nurse is caring for a client who understands a prescribed surgical procedure, but cannot read or write. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: If the client understands the procedure, they can sign with an X, respecting their autonomy. Involving others or notifying the team is unnecessary unless competence is in question.
Question 3 of 5
A nurse is reviewing the medical record of a client who is 1 day postoperative following an appendectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A hemoglobin of 10 mg/dL suggests blood loss, requiring immediate reporting. Normal WBC, mild pain, and serosanguineous exudate are expected post-appendectomy.
Question 4 of 5
A nurse is caring for a client following a bronchoscopy. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Checking the gag reflex first prevents aspiration, as the throat may be numb post-bronchoscopy. Other actions follow once safety is ensured.
Question 5 of 5
A nurse is assessing a client who has a serum sodium level of 120 mEq/L. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Hyponatremia (120 mEq/L) causes neurological symptoms like confusion due to cerebral edema. Bowel sounds, CVP, and reflexes are less directly affected.