ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse in a long-term care facility is caring for a bedridden client. Which of the following findings should alert the nurse to a potential complication of the client's immobility?
Correct Answer: A
Rationale: Confusion may indicate delirium, with immobility increasing the risk of delirium in older adults due to sensory deprivation, dehydration, or other factors. Other findings are less directly related to immobility.
Question 2 of 5
A nurse is providing discharge teaching about foot care to a client who is newly diagnosed with type 1 diabetes mellitus. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Trimming toenails straight across prevents ingrown nails and infection. Daily inspections, avoiding lotion between toes, and not soaking feet reduce infection and injury risks.
Question 3 of 5
A nurse is caring for a client who has been prescribed an antibiotic. The client tells the nurse, 'I don't like taking medications because I don't think I need them.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Informing the provider respects the client's autonomy and facilitates further discussion. Other responses may pressure or dismiss the client's concerns.
Question 4 of 5
A nurse is caring for a client following a total knee arthroplasty. The client reports a pain level of 6 on a pain scale of 0 to 10. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: Applying an ice pack reduces inflammation and pain post-arthroplasty. Pillows under the knee risk contractures, massaging may increase pain or infection, and exercises should wait until pain is controlled.
Question 5 of 5
A nurse is caring for a client following a below-the-knee amputation. The client states, 'My life is over.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Offering to connect with another amputee provides peer support and hope, addressing the client's emotional distress constructively. Other responses may dismiss or challenge feelings.