ATI RN
ATI Adult Medical Surgical 2019 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: 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 2 of 5
A nurse is caring for a client who has cancer. The client tells the nurse, 'I would prefer to try vitamins and minerals instead of chemotherapy.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Asking the client about their knowledge of chemotherapy encourages discussion, identifies misconceptions, and respects their autonomy. Directing to the provider is less engaging, dismissing holistic treatments is disrespectful, and advocating only chemotherapy ignores client preferences.
Question 3 of 5
A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Holding breaths for 3 to 5 seconds after inhaling with an incentive spirometer promotes lung expansion. Exhaling through pursed lips, placing hands on the abdomen, or positioning the mouthpiece 0.5 cm from the mouth are not correct instructions.
Question 4 of 5
A nurse is caring for a client who has chronic renal failure. The client displays the following ABG results: pH 7.24, PaCO2 44 mm Hg, PaO2 84 mm Hg, HCO3 18 mEq/L, base excess -2, and O2 saturation 95%. The nurse should conclude that the client has which of the following acid-base imbalances?
Correct Answer: D
Rationale: Low pH (7.24) and low HCO3 (18 mEq/L) with normal PaCO2 indicate metabolic acidosis, common in renal failure due to impaired acid excretion.
Question 5 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: A
Rationale: Dark red granulation tissue indicates new connective tissue and blood vessel formation, a sign of wound healing. Light yellow exudate may suggest infection, dry brown eschar is dead tissue that hinders healing, and firm wound tissue is not a specific healing indicator.