ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client admitted with a skull fracture. Which of the following assessment findings should be of greatest concern to the nurse?
Correct Answer: A
Rationale: A drop in Glasgow Coma Scale from 14 to 9 indicates worsening neurological status, possibly due to increased intracranial pressure, and is the most concerning. Elevated WBC, pulse pressure changes, and pupil changes are less urgent.
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 allergy is associated with latex-fruit syndrome, increasing latex allergy risk. Anesthetics, povidone-iodine, and adhesive tape do not have this cross-reactivity.
Question 3 of 5
A nurse is caring for a female client who has toxic shock syndrome. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale:
Toxic shock syndrome (TSS) is a life-threatening condition caused by bacterial toxins. A generalized rash resembling a sunburn is a hallmark symptom of TSS, often accompanied by high fever, hypotension, and other systemic symptoms. Elevated platelet count, decreased total bilirubin, and hypertension are not typical findings in TSS.
Question 4 of 5
A nurse is providing instructions about foot care for a client who has peripheral arterial disease. The nurse should identify which of the following statements by the client indicates an understanding of the teaching.
Correct Answer: B
Rationale: Applying a lubricating lotion to cracked areas on the soles of the feet helps maintain skin integrity and prevent complications in peripheral arterial disease (PA
D). Elevating the feet for long periods can reduce arterial blood flow, soaking in hot water risks burns due to reduced sensation, and using a heating pad can also cause burns.
Question 5 of 5
A nurse is caring for a client in the emergency department who experienced a full-thickness burn injury to the lower torso 1 hr ago. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Full-thickness burns cause fluid loss and hypovolemia, leading to hypotension. Urinary diuresis, decreased respiratory rate, and bradycardia are not typical findings.