ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who arrives at the emergency department and reports vomiting and diarrhea for the past 3 days. The client's serum potassium level is 2.8 mEq/L. Which of the following interventions should the nurse implement first?
Correct Answer: D
Rationale: Hypokalemia (2.8 mEq/L) risks cardiac arrhythmias; initiating cardiac monitoring is the priority to detect life-threatening changes. Other interventions follow based on assessment findings.
Question 2 of 5
A nurse in an emergency department is caring for a client who is to receive tissue plasminogen activator (tPA) for the treatment of an ischemic stroke. In which order should the nurse complete the following actions?
Correct Answer: B,A,C,D
Rationale: Checking contraindications ensures tPA safety, weighing determines dosage, administering tPA treats the stroke, and transferring to CCU provides monitoring.
Question 3 of 5
A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer?
Correct Answer: D
Rationale: Desmopressin, a synthetic ADH, treats diabetes insipidus by reducing urine output. Lithium and furosemide worsen it, and insulin is for diabetes mellitus.
Question 4 of 5
A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect as an indication the wound is healing?
Correct Answer: D
Rationale: Dark red granulation tissue indicates healing, as it shows new tissue and blood vessel formation. Firm tissue, eschar, and yellow exudate suggest complications or infection.
Question 5 of 5
A nurse is caring for a client who has been receiving total parenteral nutrition (TPN) for 1 week. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: A calcium level of 11.5 mg/dL indicates hypercalcemia, a TPN complication that may require formula adjustment or diuretics. Other findings are within normal or expected ranges for TPN.