ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 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 2 of 5
A nurse in the emergency department is caring for a client who was involved in an explosion. Which of the following actions should the nurse plan to take first?
Correct Answer: C
Rationale: Notifying the Rapid Response Team is the priority due to the client's unstable vital signs (high BP, HR, RR, low O2 saturation), indicating potential critical condition. ECG, burn assessment, and IV access are secondary.
Question 3 of 5
A nurse in an emergency department is preparing a client for emergency surgery. The client's blood alcohol level is 180 mg/dL. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Inserting an NG tube prevents aspiration due to vomiting risk from high blood alcohol levels. Catheter insertion, consent, and stockings are secondary.
Question 4 of 5
A nurse is planning a staff education session about hepatitis. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Hepatitis A vaccine is recommended for travelers to high-risk areas. It is transmitted via contaminated food/water, not blood; antibiotics are ineffective; incubation is 2-6 weeks.
Question 5 of 5
A nurse is preparing to administer furosemide to a client who has acute heart failure. Which of the following laboratory results should the nurse identify as a contraindication for receiving the medication?
Correct Answer: C
Rationale: Hypokalemia (potassium 3.2 mEq/L) is a contraindication for furosemide, which can further lower potassium. Normal sodium, creatinine, and BUN are not contraindications.