ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 6 hours postoperative following the application of an external fixator for a tibial fracture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Palpating the dorsalis pedis pulse assesses for neurovascular complications, a priority post-fixator application. Wrapping pins, adjusting clamps, or keeping the limb dependent are not standard or safe actions.
Question 2 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 3 of 5
A nurse is caring for a client who has chronic renal failure. The client displays the following ABG results: pH 7.24, PaCO2 44 mm Hg, PaO2 84 mm Hg, HCO3 18 mEq/L, base excess -2, and O2 saturation 95%. The nurse should conclude that the client has which of the following acid-base imbalances?
Correct Answer: D
Rationale: Low pH (7.24) and low HCO3 (18 mEq/L) with normal PaCO2 indicate metabolic acidosis, common in renal failure due to impaired acid excretion.
Question 4 of 5
A nurse is planning to teach a client whose provider has prescribed a low-purine diet. The nurse should plan to instruct the client that he can include which of the following foods in his diet? (Select all that apply.)
Correct Answer: B,D
Rationale: Apricots and nuts are low-purine foods suitable for a low-purine diet. Sardines, scallops, and liver are high-purine and should be avoided.
Question 5 of 5
A nurse is assessing a client who has a new prescription for levothyroxine. Which of the following findings should the nurse identify as an indication that the client requires a lower dose of the medication?
Correct Answer: B
Rationale: Tremors indicate possible overmedication with levothyroxine, suggesting a need for a lower dose. Weight gain, bradycardia, and hypotension are signs of under-treatment or other issues.