ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 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: D
Rationale: The priority in DKA is to restore intravascular volume with 0.9% sodium chloride to correct dehydration and improve perfusion. Checking potassium, administering bicarbonate, or starting insulin are important but secondary to fluid resuscitation.
Question 2 of 5
A nurse in an emergency department is reviewing a client's ECG reading. Which of the following findings should the nurse identify as an indication that the client has first-degree heart block?
Correct Answer: A
Rationale: First-degree heart block is characterized by prolonged PR intervals (>0.20 seconds) due to delayed AV node conduction. Nondiscernible P waves, more P waves than QRS, or no P-QRS correlation indicate other arrhythmias.
Question 3 of 5
A nurse is providing teaching to a client who has a deep-vein thrombosis (DVT). Which of the following findings should the nurse identify as a risk factor for developing DVTs?
Correct Answer: A
Rationale: Oral contraceptive use increases the risk of DVT due to its effect on clotting factors. Cirrhosis, hypertension, and NSAID use are not significant risk factors.
Question 4 of 5
A nurse is caring for a client who has bladder cancer and a WBC count of 900/mm. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A low WBC count increases infection risk, so avoiding raw fruit reduces exposure to pathogens. Prolonged pressure, negative pressure rooms, and contact isolation are not necessary.
Question 5 of 5
A nurse is caring for a client who is experiencing a hypertensive crisis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Performing neurological assessments monitors for end-organ damage in a hypertensive crisis. Dopamine, lactated Ringer's, and supine positioning are not appropriate.