ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 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 2 of 5
A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Holding breath for 3-5 seconds during incentive spirometry maximizes lung expansion. The mouthpiece should be in the mouth, exhalation is normal, and hand placement is unrelated.
Question 3 of 5
A nurse is providing dietary teaching to a client who has heart failure and a new prescription for a 2-g sodium diet. Which of the following client statements should the nurse identify as an understanding of the teaching?
Correct Answer: B
Rationale: Lemon juice is a low-sodium flavoring suitable for a 2-g sodium diet. Canned vegetables, salt, and baking soda are high in sodium and should be avoided.
Question 4 of 5
A nurse is providing discharge teaching about foot care to a client who is newly diagnosed with type 1 diabetes mellitus. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Trimming toenails straight across prevents ingrown nails and infection. Daily inspections, avoiding lotion between toes, and not soaking feet reduce infection and injury risks.
Question 5 of 5
A nurse is assessing a client who has acute kidney failure. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Rapid weight gain (1.1 kg in 24 hr) signals fluid overload in acute kidney failure, necessitating provider notification to prevent complications.