ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect as an indication the wound is healing?
Correct Answer: D
Rationale: Dark red granulation tissue indicates healing, as it shows new tissue and blood vessel formation. Firm tissue, eschar, and yellow exudate suggest complications or infection.
Question 2 of 5
A nurse is caring for a group of clients. The nurse should obtain a blood pressure reading using only the left extremity from which of the following clients?
Correct Answer: B
Rationale: Blood pressure measurement on an arm with an arteriovenous fistula risks damage; the left arm is used instead. PICC lines, weakness, or Bell's palsy do not contraindicate BP measurement.
Question 3 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 4 of 5
A nurse is caring for a client who was admitted with nausea, vomiting, and a possible bowel obstruction. An NG tube is placed and set to low intermittent suction. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Abdominal distension and firmness indicate worsening obstruction or complications like ischemia, requiring immediate reporting.
Question 5 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: D
Rationale: Lymphedema contraindicates acupuncture due to infection and swelling risks in oedematous limbs. Other conditions are not contraindications.