ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and tachypnea. In which of the following positions should the nurse place the client?
Correct Answer: C
Rationale: Elevating the feet improves blood flow to vital organs in hypovolemic shock. High-Fowler's, side-lying, and Reverse Trendelenburg do not address hypotension effectively.
Question 2 of 5
A nurse is caring for a client who is scheduled for an abdominal paracentesis. The nurse should plan to take which of the following actions?
Correct Answer: D
Rationale: Emptying the bladder prevents injury during paracentesis. Left lateral position, stool softeners, and deep breath-holding are not appropriate.
Question 3 of 5
A nurse is caring for an older adult client who has dementia. Which of the following questions should the nurse ask to assess the client's abstract thinking?
Correct Answer: A
Rationale: Interpreting a saying assesses abstract thinking. Recalling birth state tests memory, counting backward tests concentration, and understanding condition tests insight.
Question 4 of 5
A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Petechiae indicate thrombocytopenia, requiring bleeding precautions like using soft toothbrushes. Airborne precautions, blood typing, and avoiding IV pain meds are not relevant.
Question 5 of 5
A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye. Which of the following actions should the nurse plan to take first?
Correct Answer: D
Rationale: Collecting information about the irritant guides appropriate irrigation. pH testing, anesthetic drops, and saline irrigation follow this step.