ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a traumatic brain injury. The client, who has been quiet and cooperative, becomes agitated and restless. Which of the following assessments should the nurse perform first?
Correct Answer: D
Rationale: Agitation and restlessness in traumatic brain injury may indicate increased intracranial pressure, often accompanied by elevated blood pressure, making it the first assessment.
Question 2 of 5
A nurse is assessing a client who has right-sided heart failure. Which of the following assessment findings should the nurse expect to find?
Correct Answer: B
Rationale: Pitting edema is a hallmark of right-sided heart failure due to fluid retention in the extremities. Poor skin turgor, oliguria, and S4 sounds are not typical findings.
Question 3 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 4 of 5
A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy?
Correct Answer: A
Rationale: Lymphedema is a contraindication for acupuncture due to infection risk in the affected area. Mouth sores, headaches, and urticaria are not contraindications.
Question 5 of 5
A nurse is caring for a client who has pancreatitis and has been receiving total parenteral nutrition. Which of the following laboratory tests should the nurse monitor for overall nutritional status?
Correct Answer: C
Rationale: Prealbumin reflects recent nutritional status due to its short half-life, ideal for monitoring TPN effectiveness. Lipase, C-reactive protein, and creatinine assess other conditions.