ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 48 hr postoperative following a small bowel resection. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Vomiting dark green fluid suggests a potential bowel obstruction or ileus, a serious complication requiring immediate reporting. Normal urine output, serosanguineous drainage, and slight fever are less urgent.
Question 2 of 5
A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Limiting family visits to 30 minutes per day reduces radiation exposure. Sharing dosimeter badges, touching dislodged implants, or removing linens after each change are unsafe.
Question 3 of 5
A nurse is providing teaching to a client who has a deep-vein thrombosis (DVT). Which of the following findings should the nurse identify as a risk factor for developing DVTs?
Correct Answer: A
Rationale: Oral contraceptive use increases the risk of DVT due to its effect on clotting factors. Cirrhosis, hypertension, and NSAID use are not significant risk factors.
Question 4 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 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.