ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing a client who has right-sided heart failure. Which of the following assessment findings should the nurse expect to find?
Correct Answer: B
Rationale: Pitting edema is a hallmark of right-sided heart failure due to fluid retention in the extremities. Poor skin turgor, oliguria, and S4 sounds are not typical findings.
Question 3 of 5
A nurse on a medical unit is planning care for a group of clients. Which of the following clients should the nurse attend to first?
Correct Answer: B
Rationale: A nosebleed in a client with thrombocytopenia indicates a risk of significant bleeding due to low platelets, requiring immediate attention. COPD with 89% saturation, stable stroke symptoms, and MS symptoms are less urgent.
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 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.