ATI RN
ATI Adult Medical Surgical 2019 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: B
Rationale: Inserting an NG tube prevents aspiration due to vomiting risk from high blood alcohol levels. Catheter insertion, consent, and stockings are secondary.
Question 2 of 5
A nurse is assessing a client who is receiving furosemide to treat pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?
Correct Answer: C
Rationale: Weight loss of 0.8 kg in 24 hours indicates effective fluid removal by furosemide, reducing pulmonary edema. Adventitious sounds, elevated blood pressure, and a respiratory rate of 24/min do not confirm effectiveness.
Question 3 of 5
A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the following is the priority intervention by the nurse?
Correct Answer: D
Rationale: The priority in DKA is to restore intravascular volume with 0.9% sodium chloride to correct dehydration and improve perfusion. Checking potassium, administering bicarbonate, or starting insulin are important but secondary to fluid resuscitation.
Question 4 of 5
A nurse is caring for a client who is postoperative following an endoscopy with moderate (conscious) sedation. Which of the following assessment findings is the nurse's priority?
Correct Answer: B
Rationale: Assessing the gag reflex is the priority post-endoscopy with sedation to ensure safe swallowing before eating or drinking. Pain, extremity warmth, and temperature are secondary.
Question 5 of 5
A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Limiting family visits to 30 minutes per day reduces radiation exposure. Sharing dosimeter badges, touching dislodged implants, or removing linens after each change are unsafe.