ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse in an emergency department is preparing a client for emergency surgery. The client's blood alcohol level is 180 mg/dL. Which of the following actions is the nurse's priority?
Correct Answer: A
Rationale: Obtaining informed consent is the priority, as a high blood alcohol level may impair the client's ability to understand and consent, possibly requiring a legal representative. Other actions are secondary.
Question 2 of 5
A nurse is preparing to assist with the insertion of a non-tunneled central venous catheter for a client who is malnourished. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Confirming catheter position with a blood sample ensures proper placement. Valsalva maneuver, elevated bed, and chlorhexidine cleansing are appropriate, not coughing, lowering bed, or hydrogen peroxide.
Question 3 of 5
A nurse is teaching the family of a client who has Alzheimer's disease about caring for the client at home. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: A monthly calendar helps orient the client to time, reducing confusion in Alzheimer's disease. Covering outlets with tape poses a fire hazard, a dark bedroom increases fall risk, and while a large-face clock may help, a calendar is more effective for orientation.
Question 4 of 5
A nurse is assessing a client who has acute kidney failure. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Rapid weight gain (1.1 kg in 24 hr) signals fluid overload in acute kidney failure, necessitating provider notification to prevent complications.
Question 5 of 5
A nurse is caring for a client who is experiencing an acute asthma attack. Which of the following should the nurse identify as a contributing factor to the client's manifestations?
Correct Answer: A
Rationale: Narrowed airways in asthma trap carbon dioxide, worsening symptoms and causing acidosis. Alveolar elasticity loss is COPD-related, and decreased responsiveness or suppressed inflammation are treatment goals.