ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 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 2 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 3 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 4 of 5
A nurse is planning care for a client who has left-sided hemiplegia following a stroke. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Providing a short-handled reacher aids in grasping objects without straining the unaffected arm. A plate guard is helpful but not the primary action, using a cane on the affected side is unsafe, and placing the table on the left side is impractical.
Question 5 of 5
A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Petechiae indicate thrombocytopenia, requiring bleeding precautions like using soft toothbrushes. Airborne precautions, blood typing, and avoiding IV pain meds are not relevant.