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 serum sodium level of 120 mEq/L. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Hyponatremia (120 mEq/L) causes neurological symptoms like confusion due to cerebral edema. Bowel sounds, CVP, and reflexes are less directly affected.
Question 2 of 5
A nurse is providing discharge teaching to a client who has chronic urinary tract infections. The client has a prescription for ciprofloxacin 250 mg PO twice daily. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Drinking 2-3 L of fluids daily helps flush bacteria, aiding ciprofloxacin's effectiveness. Antacids reduce absorption, heart rate monitoring is unnecessary, and laxatives may cause dehydration.
Question 3 of 5
A nurse is checking a client's ventilator settings. The nurse should understand that positive end-expiratory pressure has which of the following purposes?
Correct Answer: D
Rationale: Positive end-expiratory pressure (PEEP) prevents alveolar collapse by maintaining airway pressure at expiration, improving oxygenation. It does not affect tidal volume, inspiratory pressure, or ventilation rate.
Question 4 of 5
A nurse is preparing to assist the provider with a thoracentesis for a client who has a left pleural effusion. Which of the following interventions is the priority for the nurse?
Correct Answer: D
Rationale: Checking for local anesthetic allergies prevents severe reactions during thoracentesis, prioritizing client safety.
Question 5 of 5
A home health nurse is providing care to an older adult client during the winter. During an in-home visit, the nurse notes that the thermostat is set to 12.8° C (55° F). The client tells the nurse, 'I keep the heat set low because I can't afford to pay the bill.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Contacting Health and Human Services provides access to heating assistance, mitigating hypothermia risk in older adults.