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: Weight gain of 1.1 kg in 24 hours indicates fluid retention, worsening kidney failure, and requires reporting. Other findings are normal or expected.
Question 2 of 5
A nurse in a provider's office is caring for a client who has total vision loss and is the handler of a service dog. Which of the following actions should the nurse take to show consideration for the client and the service animal?
Correct Answer: B
Rationale: Consulting the client respects their control over the service dog, ensuring its work is not disrupted. Other actions may interfere with the dog's role.
Question 3 of 5
A nurse is preparing to discontinue long-term total parenteral nutrition (TPN) therapy for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects?
Correct Answer: B
Rationale: Gradual TPN discontinuation prevents hypoglycemia due to sudden cessation of high glucose infusion. Hyperglycemia occurs during TPN, and diarrhea or hypertension are unrelated.
Question 4 of 5
A nurse is teaching a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Correct Answer: C
Rationale: Cloudy effluent is the earliest and most reliable sign of peritonitis in peritoneal dialysis, indicating infection in the peritoneal cavity.
Question 5 of 5
A nurse is teaching about measures to prevent recurring urinary tract infections with a female client. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Drinking 3 L of fluids, wiping front to back, and low-fructose cranberry juice prevent bacterial growth and contamination. Bubble baths increase infection risk, and voiding every 2-3 hours is preferred.