ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse in the emergency department is caring for a client who was involved in an explosion. Which of the following actions should the nurse plan to take first?
Correct Answer: C
Rationale: Notifying the Rapid Response Team is the priority due to the client's unstable vital signs (high BP, HR, RR, low O2 saturation), indicating potential critical condition. ECG, burn assessment, and IV access are secondary.
Question 2 of 5
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates the effectiveness of the teaching?
Correct Answer: B
Rationale: Expecting lesions to resolve in 6 weeks aligns with the healing timeline for genital herpes. Antibiotics are ineffective, natural skin condoms don't prevent transmission, and medication duration varies.
Question 3 of 5
A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?
Correct Answer: A
Rationale: Administering IV fluids maintains renal perfusion, preventing acute kidney failure. Catheter insertion, pyelogram, and beta-blockers do not address this risk directly.
Question 4 of 5
A nurse is completing discharge teaching with a client who has a peripherally inserted central catheter (PICC) line in the left arm. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Using a 10-mL syringe to flush a PICC line prevents catheter damage. Hydrogen peroxide is not used, dressings are changed every 3-7 days, and arm elevation is not restricted.
Question 5 of 5
A nurse is assessing a client who has a new diagnosis of diverticulitis and reports that he uses multiple complementary and alternative healing therapies. Which of the following complementary therapies should the nurse identify as contraindicated for the client?
Correct Answer: C
Rationale: Colonics involve flushing the colon with fluids, which is contraindicated in diverticulitis due to the risk of perforation or worsening inflammation. Acupuncture, saw palmetto, and guided imagery are not contraindicated.