ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 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 2 of 5
A nurse is monitoring a client who is receiving 2 units of packed RBCs. Which of the following manifestations indicates a hemolytic transfusion reaction?
Correct Answer: A
Rationale: Back pain is a specific early sign of a hemolytic transfusion reaction due to immune-mediated destruction of transfused RBCs. Bradycardia, hypertension, and chills are less specific.
Question 3 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 4 of 5
A nurse is caring for a client admitted with a skull fracture. Which of the following assessment findings should be of greatest concern to the nurse?
Correct Answer: A
Rationale: A drop in Glasgow Coma Scale from 14 to 9 indicates worsening neurological status, possibly due to increased intracranial pressure, and is the most concerning. Elevated WBC, pulse pressure changes, and pupil changes are less urgent.
Question 5 of 5
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates the effectiveness of the teaching?
Correct Answer: B
Rationale: Expecting lesions to resolve in 6 weeks aligns with the healing timeline for genital herpes. Antibiotics are ineffective, natural skin condoms don't prevent transmission, and medication duration varies.