ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has acute kidney failure. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Rapid weight gain (1.1 kg in 24 hr) signals fluid overload in acute kidney failure, necessitating provider notification to prevent complications.
Question 2 of 5
A nurse is caring for a client who has been receiving total parenteral nutrition (TPN) for 1 week. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: A calcium level of 11.5 mg/dL indicates hypercalcemia, a TPN complication that may require formula adjustment or diuretics. Other findings are within normal or expected ranges for TPN.
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 high WBC count (15,000/mm3) is expected in pneumonia due to the inflammatory response to infection. Sodium, BUN, and hematocrit are not directly affected by pneumonia.
Question 4 of 5
A nurse is caring for a client following a below-the-knee amputation. The client states, 'My life is over.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Offering to connect with another amputee provides peer support and hope, addressing the client's emotional distress constructively. Other responses may dismiss or challenge feelings.
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.