ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has advanced liver disease. Which of the following laboratory results should the nurse monitor when assessing this client?
Correct Answer: B
Rationale: Serum ammonia levels are elevated in advanced liver disease due to impaired detoxification, contributing to hepatic encephalopathy. Glucose, troponin, and phosphate are not primary indicators.
Question 2 of 5
A nurse is caring for a client who has anemia. Which of the following assessment findings should the nurse anticipate with the client's condition?
Correct Answer: A
Rationale: Headache is a common symptom of anemia due to reduced oxygen delivery to tissues. Bradycardia, heat intolerance, and flushed skin are not typical; anemia often causes tachycardia and pale skin.
Question 3 of 5
A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion?
Correct Answer: A
Rationale: Cool, clammy skin is a classic sign of hypoglycemia due to sympathetic nervous system activation. Acetone breath, Kussmaul respirations, and increased urine output are associated with hyperglycemia.
Question 4 of 5
A nurse in a clinic is providing preventive teaching to an older adult client during a good visit. The nurse should instruct the client that which of the following immunizations are recommended for healthy adults after age 60. (Select all that apply.)
Correct Answer: A,D,E
Rationale: Pneumococcal polysaccharide, influenza, and herpes zoster vaccines are recommended for adults over 60 to prevent pneumonia, flu, and shingles. Meningococcal and HPV vaccines are not routinely recommended for this age group.
Question 5 of 5
A nurse is teaching a client who has AIDS and wishes to continue self-care at home despite living alone. Which of the following actions by the nurse demonstrates client advocacy?
Correct Answer: D
Rationale: Initiating a home health agency referral supports the client's self-care while providing necessary resources, demonstrating advocacy. Avoiding crowds, raw vegetables, or emphasizing medication adherence are precautions, not advocacy.