ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 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 before approaching the service dog respects the dog's role and the client's preferences, preventing distraction. Petting, offering water, or commanding the dog can interfere with its duties.
Question 2 of 5
A nurse is completing an assessment of an older adult client and notes reddened areas over the bony prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Supporting bony prominences with pillows relieves pressure, preventing pressure injuries. Occlusive dressings, infrequent repositioning, and massaging reddened areas can worsen the condition.
Question 3 of 5
A nurse is planning care for a client who has status epilepticus. Which of the following interventions is the nurse's priority to include?
Correct Answer: B
Rationale: Administering diazepam IV is the priority to stop seizure activity in status epilepticus. Phenytoin, oxygen, and lateral positioning are important but secondary.
Question 4 of 5
A nurse in the PACU is caring for a client. Which of the following assessments is the nurse's priority?
Correct Answer: A
Rationale: Assessing respiratory status is the priority in the PACU due to the risk of respiratory depression from anesthesia. Surgical site, consciousness, and pain are important but secondary.
Question 5 of 5
A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect as an indication the wound is healing?
Correct Answer: A
Rationale: Dark red granulation tissue indicates new connective tissue and blood vessel formation, a sign of wound healing. Light yellow exudate may suggest infection, dry brown eschar is dead tissue that hinders healing, and firm wound tissue is not a specific healing indicator.