ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the nurse to report?
Correct Answer: C
Rationale: A platelet count of 70,000/mm indicates thrombocytopenia, increasing bleeding risk, and is the priority to report. Ascites, clay-colored stools, and elevated alkaline phosphatase are concerning but less urgent.
Question 2 of 5
A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops to treat glaucoma. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Pressing gently near the tear ducts (nasolacrimal occlusion) prevents systemic absorption of betaxolol. Closing eyes for 5 minutes, tilting the head forward, or expecting blurred vision are not correct.
Question 3 of 5
A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Holding breaths for 3 to 5 seconds after inhaling with an incentive spirometer promotes lung expansion. Exhaling through pursed lips, placing hands on the abdomen, or positioning the mouthpiece 0.5 cm from the mouth are not correct instructions.
Question 4 of 5
A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances?
Correct Answer: A
Rationale: Banana allergy is associated with latex-fruit syndrome, increasing latex allergy risk. Anesthetics, povidone-iodine, and adhesive tape do not have this cross-reactivity.
Question 5 of 5
A community health nurse is reviewing home care instructions with an older adult client who has a new diagnosis of heart failure. Which of the following is the priority topic for the nurse to review with the client?
Correct Answer: D
Rationale: Monitoring weight changes is the priority in heart failure to detect fluid retention early, as sudden weight gain indicates worsening condition. Exercise, sodium, and fluid intake are important but secondary.