ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client following a bronchoscopy. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Checking the gag reflex first prevents aspiration, as the throat may be numb post-bronchoscopy. Other actions follow once safety is ensured.
Question 2 of 5
A nurse is caring for a client following a below-the-knee amputation. The client states, 'My life is over.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Offering to connect with another amputee provides peer support and hope, addressing the client's emotional distress constructively. Other responses may dismiss or challenge feelings.
Question 3 of 5
A nurse is providing teaching to a client who has left-sided heart failure. Which of the following manifestations should the nurse include in the teaching?
Correct Answer: D
Rationale: A hacking cough, especially when lying down, indicates pulmonary congestion from left-sided heart failure. Neck-vein distention and ankle edema are right-sided heart failure signs; anorexia is nonspecific.
Question 4 of 5
A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the following is the priority intervention by the nurse?
Correct Answer: B
Rationale: Continuous IV insulin infusion is the priority in DKA to lower glucose and reverse ketosis, correcting metabolic imbalances. Other interventions support but follow insulin.
Question 5 of 5
A nurse is reviewing a client's cardiac monitor for dysrhythmias. Which of the following findings should the nurse identify as an indication for the placement of a permanent pacemaker?
Correct Answer: B
Rationale: Complete AV block with rates below 40/min risks severe bradycardia and symptoms, necessitating a pacemaker. Other conditions are less severe or not indications.