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 anemia. Which of the following assessment findings should the nurse anticipate with the client's condition?
Correct Answer: B
Rationale: Anemia reduces oxygen-carrying capacity, causing headaches due to tissue hypoxia. Tachycardia, pallor, and fatigue are more common than bradycardia, heat intolerance, or flushed skin.
Question 2 of 5
A nurse is teaching a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Correct Answer: C
Rationale: Cloudy effluent is the earliest and most reliable sign of peritonitis in peritoneal dialysis, indicating infection in the peritoneal cavity.
Question 3 of 5
A nurse is planning care for a client who has a newly implanted arteriovenous graft in the right arm. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Palpating for a thrill confirms blood flow and patency of the arteriovenous graft. Other actions risk graft damage or complications.
Question 4 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 5 of 5
A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances?
Correct Answer: A
Rationale: Banana allergies are associated with latex-fruit syndrome, increasing latex allergy risk due to shared proteins. Other substances are unrelated to banana allergies.