ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client for a positive Chvostek's sign following a thyroidectomy. Which of the following areas on the client's head should the nurse tap to assess the client for tetany?
Correct Answer: B
Rationale: Tapping 2 cm in front of the ear over the facial nerve tests for Chvostek's sign, indicating hypocalcemia post-thyroidectomy.
Question 2 of 5
A nurse is reviewing the medical record of a client who has pneumonia. Which of the following serum laboratory values should the nurse expect?
Correct Answer: A
Rationale: A WBC count of 15,000/mm3 indicates leukocytosis, expected in pneumonia due to infection. Other values are normal and not directly related to pneumonia.
Question 3 of 5
A nurse is caring for a client who arrives at the emergency department and reports vomiting and diarrhea for the past 3 days. The client's serum potassium level is 2.8 mEq/L. Which of the following interventions should the nurse implement first?
Correct Answer: D
Rationale: Hypokalemia (2.8 mEq/L) risks cardiac arrhythmias; initiating cardiac monitoring is the priority to detect life-threatening changes. Other interventions follow based on assessment findings.
Question 4 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: B
Rationale: Continuous IV insulin infusion is the priority in DKA to lower glucose and reverse ketosis, correcting metabolic imbalances. Other interventions support but follow insulin.
Question 5 of 5
A nurse is providing dietary teaching to a client who has heart failure and a new prescription for a 2-g sodium diet. Which of the following client statements should the nurse identify as an understanding of the teaching?
Correct Answer: B
Rationale: Lemon juice is a low-sodium flavoring suitable for a 2-g sodium diet. Canned vegetables, salt, and baking soda are high in sodium and should be avoided.