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 clopidogrel following a cardiac catheterization. Which of the following findings should the nurse report to the provider as an indication of an allergic reaction to the medication?
Correct Answer: C
Rationale: Pruritus (itching) is a sign of an allergic reaction to clopidogrel. Pinpoint pupils, tarry stools (indicating bleeding), and hypotension are not typical allergic responses.
Question 2 of 5
A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Inserting a large-bore nasogastric tube allows for gastric lavage and diagnosis of bleeding sources in upper GI bleeding. A 22-gauge IV is too small, ketorolac increases bleeding risk, and nitroprusside is not indicated.
Question 3 of 5
A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy?
Correct Answer: A
Rationale: Lymphedema is a contraindication for acupuncture due to infection risk in the affected area. Mouth sores, headaches, and urticaria are not contraindications.
Question 4 of 5
A nurse is caring for an older adult client who has dementia. Which of the following questions should the nurse ask to assess the client's abstract thinking?
Correct Answer: A
Rationale: Interpreting a saying assesses abstract thinking. Recalling birth state tests memory, counting backward tests concentration, and understanding condition tests insight.
Question 5 of 5
A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?
Correct Answer: B
Rationale: Fever, night sweats, and cough suggest a possible infectious disease like tuberculosis, requiring a private room to prevent spread. DKA, fractures, and aspiration pneumonia do not necessitate isolation.