ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory results should the nurse monitor to determine long-term glycemic control?
Correct Answer: B
Rationale: Glycosylated hemoglobin (HbA1c) reflects average blood glucose over 2-3 months, ideal for long-term control. Fasting, oral glucose tolerance, and postprandial tests assess short-term control.
Question 2 of 5
A community health nurse is reviewing home care instructions with an older adult client who has a new diagnosis of heart failure. Which of the following is the priority topic for the nurse to review with the client?
Correct Answer: D
Rationale: Monitoring weight changes is the priority in heart failure to detect fluid retention early, as sudden weight gain indicates worsening condition. Exercise, sodium, and fluid intake are important but secondary.
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 who is postoperative following an endoscopy with moderate (conscious) sedation. Which of the following assessment findings is the nurse's priority?
Correct Answer: B
Rationale: Assessing the gag reflex is the priority post-endoscopy with sedation to ensure safe swallowing before eating or drinking. Pain, extremity warmth, and temperature are secondary.
Question 5 of 5
A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the nurse to report?
Correct Answer: C
Rationale: A platelet count of 70,000/mm indicates thrombocytopenia, increasing bleeding risk, and is the priority to report. Ascites, clay-colored stools, and elevated alkaline phosphatase are concerning but less urgent.