ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 6 hr postoperative following application of an external fixator for a tibial fracture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Palpating the dorsalis pedis pulse ensures circulation post-fixator application. Dependent positioning, gauze wrapping, or clamp adjustment risk complications.
Question 2 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 take first?
Correct Answer: C
Rationale: Identifying the chemical irritant guides irrigation duration and treatment, making it the first step in ocular irrigation.
Question 3 of 5
A nurse is assessing a client who has acute kidney failure. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Weight gain of 1.1 kg in 24 hours indicates fluid retention, worsening kidney failure, and requires reporting. Other findings are normal or expected.
Question 4 of 5
A nurse is checking a client's ventilator settings. The nurse should understand that positive end-expiratory pressure has which of the following purposes?
Correct Answer: D
Rationale: Positive end-expiratory pressure (PEEP) prevents alveolar collapse by maintaining airway pressure at expiration, improving oxygenation. It does not affect tidal volume, inspiratory pressure, or ventilation rate.
Question 5 of 5
A nurse is caring for a client who is taking digoxin 0.125 mg PO daily and is at risk for developing digoxin toxicity. The nurse should monitor the client for an imbalance of which of the following electrolytes because it can increase the risk for digoxin toxicity?
Correct Answer: D
Rationale: Hypokalemia increases digoxin toxicity risk by enhancing digoxin binding to cardiac cells, affecting contractility and conduction. Other electrolytes are less directly related.