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 are associated with latex-fruit syndrome, increasing latex allergy risk due to shared proteins. Other substances are unrelated to banana allergies.
Question 2 of 5
A nurse is assessing a client for a positive Chvostek's sign following a thyroidectomy. Which of the following areas on the client's head should the nurse tap to assess the client for tetany?
Correct Answer: B
Rationale: Tapping 2 cm in front of the ear over the facial nerve tests for Chvostek's sign, indicating hypocalcemia post-thyroidectomy.
Question 3 of 5
A nurse is reviewing laboratory results for four clients who are scheduled for surgery. Which of the following laboratory values should the nurse report to the surgeon?
Correct Answer: A
Rationale: A platelet count of 95,000/mm indicates thrombocytopenia, increasing bleeding risk during surgery, requiring immediate reporting. Other values are within normal ranges and do not pose immediate surgical risks.
Question 4 of 5
A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?
Correct Answer: C
Rationale: Pancreatitis causing left shoulder pain is referred pain via the phrenic nerve. Other pains are localized to their source.
Question 5 of 5
A nurse is caring for a client who is taking digoxin 0.125 mg PO daily and is at risk for developing digoxin toxicity. The nurse should monitor the client for an imbalance of which of the following electrolytes because it can increase the risk for digoxin toxicity?
Correct Answer: D
Rationale: Hypokalemia increases digoxin toxicity risk by enhancing digoxin binding to cardiac cells, affecting contractility and conduction. Other electrolytes are less directly related.