ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 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 allergies increase latex allergy risk due to latex-fruit syndrome. Anesthetics, adhesive tape, and povidone-iodine are not typically cross-reactive.
Question 2 of 5
A nurse is caring for a client following a total knee arthroplasty. The client reports a pain level of 6 on a pain scale of 0 to 10. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: Applying an ice pack reduces inflammation and pain post-arthroplasty. Pillows under the knee risk contractures, massaging may increase pain or infection, and exercises should wait until pain is controlled.
Question 3 of 5
A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?
Correct Answer: D
Rationale: Thrombocytopenia contraindicates heparin due to increased bleeding risk. COPD, rheumatoid arthritis, and thalassemia are not contraindications.
Question 4 of 5
A nurse is preparing to discharge a client who has a halo device and is reviewing new prescriptions from the provider. The nurse should clarify which of the following prescriptions with the provider?
Correct Answer: A
Rationale: Driving with a halo device is unsafe due to restricted neck movement; this prescription requires clarification. Other instructions are appropriate for halo device care.
Question 5 of 5
A nurse is assessing a client who has increased intracranial pressure (ICP). The nurse should recognize that which of the following is the first sign of deteriorating neurological status?
Correct Answer: C
Rationale: Altered level of consciousness is the earliest and most sensitive sign of increased ICP, detectable via the Glasgow Coma Scale. Pupillary dilation, decorticate posturing, and Cheyne-Stokes respirations are later signs indicating severe brainstem involvement.