ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse in a clinic is providing preventive teaching to an older adult client during a good visit. The nurse should instruct the client that which of the following immunizations are recommended for healthy adults after age 60. (Select all that apply.)
Correct Answer: A,D,E
Rationale: Pneumococcal polysaccharide, influenza, and herpes zoster vaccines are recommended for adults over 60 to prevent pneumonia, flu, and shingles. Meningococcal and HPV vaccines are not routinely recommended for this age group.
Question 2 of 5
A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?
Correct Answer: A
Rationale: Thrombocytopenia (low platelets) increases bleeding risk, contraindicating heparin. Rheumatoid arthritis, thalassemia, and COPD are not contraindications.
Question 3 of 5
A nurse in a provider's office is teaching a client about the self-management of GERD. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Elevating the head of the bed 6-8 inches during sleep reduces GERD symptoms by preventing acid reflux. Increasing calories, lying down after meals, or eating close to bedtime worsen symptoms.
Question 4 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 5 of 5
A nurse is caring for a client who has anemia. Which of the following assessment findings should the nurse anticipate with the client's condition?
Correct Answer: A
Rationale: Headache is a common symptom of anemia due to reduced oxygen delivery to tissues. Bradycardia, heat intolerance, and flushed skin are not typical; anemia often causes tachycardia and pale skin.