ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is administering potassium chloride via IV infusion to a client who has severe hypokalemia. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Monitoring urine output ensures kidney function and potassium excretion. Checking the site every 4 hours is too infrequent, 30 mEq/hr is too high, and Chvostek's sign assesses hypocalcemia.
Question 2 of 5
A nurse in a clinic is providing preventive teaching to an older adult client during a good visit. The nurse should instruct the client that which of the following immunizations are recommended for healthy adults after age 60. (Select all that apply.)
Correct Answer: A,D,E
Rationale: Pneumococcal polysaccharide, influenza, and herpes zoster vaccines are recommended for adults over 60 to prevent pneumonia, flu, and shingles. Meningococcal and HPV vaccines are not routinely recommended for this age group.
Question 3 of 5
A nurse is caring for a client who is experiencing a hypertensive crisis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Performing neurological assessments monitors for end-organ damage in a hypertensive crisis. Dopamine, lactated Ringer's, and supine positioning are not appropriate.
Question 4 of 5
A nurse is teaching a client who has endometriosis about the adverse effects of leuprolide. Which of the following manifestations should the nurse include in the teaching?
Correct Answer: C
Rationale: Leuprolide can cause bone loss, increasing the risk of osteoporosis. Pallor, increased appetite, and hypoglycemia are not common side effects.
Question 5 of 5
A nurse is caring for a client who is 48 hr postoperative following a small bowel resection. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Vomiting dark green fluid suggests a potential bowel obstruction or ileus, a serious complication requiring immediate reporting. Normal urine output, serosanguineous drainage, and slight fever are less urgent.