ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a severe burn injury. The nurse should recognize which of the following client findings as an indication of hypovolemic shock?
Correct Answer: B
Rationale: Hyperkalemia (5.2 mEq/L) from cell destruction in burns indicates hypovolemic shock, risking cardiac complications. Normal urine output, capillary refill, and PaCO2 are not specific to shock.
Question 2 of 5
A nurse is providing discharge teaching to a client who has heart failure and instructs him to limit sodium intake to 2 g per day. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: A frozen fruit juice bar is low-sodium, aligning with a 2 g sodium diet. Vegetable juice, garlic/onion salts, and mayonnaise are high in sodium and should be avoided.
Question 3 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 4 of 5
A nurse is caring for a client following a total knee arthroplasty. The client reports a pain level of 6 on a pain scale of 0 to 10. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: Applying an ice pack reduces inflammation and pain post-arthroplasty. Pillows under the knee risk contractures, massaging may increase pain or infection, and exercises should wait until pain is controlled.
Question 5 of 5
A nurse in an emergency department is caring for a client who has sinus bradycardia. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Measuring blood pressure assesses hemodynamic stability in sinus bradycardia, guiding further interventions like pacing or atropine.