ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a new prescription for levothyroxine. Which of the following findings should the nurse identify as an indication that the client requires a lower dose of the medication?
Correct Answer: B
Rationale: Tremors indicate possible overmedication with levothyroxine, suggesting a need for a lower dose. Weight gain, bradycardia, and hypotension are signs of under-treatment or other issues.
Question 2 of 5
A nurse is providing teaching to a client and their partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Correct Answer: A
Rationale: Cloudy effluent is the earliest sign of peritonitis in peritoneal dialysis, indicating infection. Increased heart rate, abdominal pain, and fever appear later.
Question 3 of 5
A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Wearing gloves and washing hands when changing a cat's litter box reduces infection risk, indicating understanding of AIDS-related precautions. Increasing produce, using alcohol for spills, or dry cleaning clothes are not specific or necessary.
Question 4 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 5 of 5
A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The rise and fall (tidaling) in the water-seal chamber is caused by normal respiratory pressure changes. Air leaks, full lung expansion, or high suction do not cause tidaling.