ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has pancreatitis and has been receiving total parenteral nutrition. Which of the following laboratory tests should the nurse monitor for overall nutritional status?
Correct Answer: C
Rationale: Prealbumin reflects recent nutritional status due to its short half-life, ideal for monitoring TPN effectiveness. Lipase, C-reactive protein, and creatinine assess other conditions.
Question 2 of 5
A nurse is caring for a client who has bounding pulses, crackles on auscultation, and pink frothy secretions when receiving suctioning. The nurse should recognize these assessment findings as indicating which of the following?
Correct Answer: C
Rationale: Bounding pulses, crackles, and pink frothy secretions indicate fluid volume excess, often due to heart failure causing pulmonary edema. Increased cardiac output, pleural effusion, and aspiration do not typically present with these findings.
Question 3 of 5
A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?
Correct Answer: A
Rationale: Administering IV fluids maintains renal perfusion, preventing acute kidney failure. Catheter insertion, pyelogram, and beta-blockers do not address this risk directly.
Question 4 of 5
A nurse is reviewing the medication list of a client who is being admitted with diabetes insipidus. Which of the following medications places the client at an increased risk for developing diabetes insipidus?
Correct Answer: D
Rationale: Lithium can cause diabetes insipidus by impairing kidney response to antidiuretic hormone. Propranolol, atorvastatin, and ranitidine do not have this effect.
Question 5 of 5
A nurse in a provider's office is caring for a client who has total vision loss and is the handler of a service dog. Which of the following actions should the nurse take to show consideration for the client and the service animal?
Correct Answer: B
Rationale: Consulting the client before approaching the service dog respects the dog's role and the client's preferences, preventing distraction. Petting, offering water, or commanding the dog can interfere with its duties.