ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving furosemide to treat pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?
Correct Answer: C
Rationale: Weight loss of 0.8 kg in 24 hours indicates effective fluid removal by furosemide, reducing pulmonary edema. Adventitious sounds, elevated blood pressure, and a respiratory rate of 24/min do not confirm effectiveness.
Question 2 of 5
A nurse is planning to teach a client whose provider has prescribed a low-purine diet. The nurse should plan to instruct the client that he can include which of the following foods in his diet? (Select all that apply.)
Correct Answer: B,D
Rationale: Apricots and nuts are low-purine foods suitable for a low-purine diet. Sardines, scallops, and liver are high-purine and should be avoided.
Question 3 of 5
A nurse on a medical unit is planning care for a group of clients. Which of the following clients should the nurse attend to first?
Correct Answer: B
Rationale: A nosebleed in a client with thrombocytopenia indicates a risk of significant bleeding due to low platelets, requiring immediate attention. COPD with 89% saturation, stable stroke symptoms, and MS symptoms are less urgent.
Question 4 of 5
A nurse is assessing a client following the insertion of a central venous catheter. Which of the following findings indicates a pneumothorax?
Correct Answer: D
Rationale: Diminished breath sounds on the affected side indicate pneumothorax, a complication of central venous catheter insertion. Distended veins, itching, and irregular heart rate are not specific.
Question 5 of 5
A nurse is caring for a client who is 48 hr postoperative following a small bowel resection. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Vomiting dark green fluid suggests a potential bowel obstruction or ileus, a serious complication requiring immediate reporting. Normal urine output, serosanguineous drainage, and slight fever are less urgent.