ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving valsartan to treat heart failure. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: D
Rationale: Valsartan lowers blood pressure by blocking angiotensin II, reducing cardiac workload in heart failure. Decreased urine output, increased heart rate, or potassium levels suggest worsening or adverse effects.
Question 2 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 3 of 5
A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy?
Correct Answer: D
Rationale: Lymphedema contraindicates acupuncture due to infection and swelling risks in oedematous limbs. Other conditions are not contraindications.
Question 4 of 5
A nurse is teaching the family of a client who has Alzheimer's disease about caring for the client at home. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: A monthly calendar helps orient the client to time, reducing confusion in Alzheimer's disease. Covering outlets with tape poses a fire hazard, a dark bedroom increases fall risk, and while a large-face clock may help, a calendar is more effective for orientation.
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.