ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has just returned from surgery with an external fixator to the left tibia. Which of the following assessment findings requires immediate intervention by the nurse?
Correct Answer: A
Rationale: A capillary refill of 6 seconds indicates poor blood flow, requiring immediate intervention to prevent tissue damage. Pain, slight fever, and drainage are concerning but less urgent.
Question 2 of 5
A nurse is assessing a client who has a new prescription for clopidogrel following a cardiac catheterization. Which of the following findings should the nurse report to the provider as an indication of an allergic reaction to the medication?
Correct Answer: C
Rationale: Pruritus (itching) is a sign of an allergic reaction to clopidogrel. Pinpoint pupils, tarry stools (indicating bleeding), and hypotension are not typical allergic responses.
Question 3 of 5
A nurse is caring for a client who has advanced liver disease. Which of the following laboratory results should the nurse monitor when assessing this client?
Correct Answer: B
Rationale: Serum ammonia levels are elevated in advanced liver disease due to impaired detoxification, contributing to hepatic encephalopathy. Glucose, troponin, and phosphate are not primary indicators.
Question 4 of 5
A nurse is teaching a client who has AIDS and wishes to continue self-care at home despite living alone. Which of the following actions by the nurse demonstrates client advocacy?
Correct Answer: D
Rationale: Initiating a home health agency referral supports the client's self-care while providing necessary resources, demonstrating advocacy. Avoiding crowds, raw vegetables, or emphasizing medication adherence are precautions, not advocacy.
Question 5 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.