ATI RN
ATI Adult Medical Surgical 2019 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: A
Rationale: Dark red granulation tissue indicates new connective tissue and blood vessel formation, a sign of wound healing. Light yellow exudate may suggest infection, dry brown eschar is dead tissue that hinders healing, and firm wound tissue is not a specific healing indicator.
Question 2 of 5
A nurse is assessing a client who has a new diagnosis of diverticulitis and reports that he uses multiple complementary and alternative healing therapies. Which of the following complementary therapies should the nurse identify as contraindicated for the client?
Correct Answer: C
Rationale: Colonics involve flushing the colon with fluids, which is contraindicated in diverticulitis due to the risk of perforation or worsening inflammation. Acupuncture, saw palmetto, and guided imagery are not contraindicated.
Question 3 of 5
A nurse is assessing a client who has right-sided heart failure. Which of the following assessment findings should the nurse expect to find?
Correct Answer: B
Rationale: Pitting edema is a hallmark of right-sided heart failure due to fluid retention in the extremities. Poor skin turgor, oliguria, and S4 sounds are not typical findings.
Question 4 of 5
A nurse is administering potassium chloride via IV infusion to a client who has severe hypokalemia. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Monitoring urine output ensures kidney function and potassium excretion. Checking the site every 4 hours is too infrequent, 30 mEq/hr is too high, and Chvostek's sign assesses hypocalcemia.
Question 5 of 5
A nurse finds a client in bed, unresponsive and breathing. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Palpating the carotid pulse assesses circulation in an unresponsive but breathing client, following the ABC (airway, breathing, circulation) priority. Monitoring, blood pressure, or IV access are secondary.