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 experiencing an acute asthma attack. Which of the following should the nurse identify as a contributing factor to the client's manifestations?
Correct Answer: A
Rationale: Narrowed airways in asthma trap carbon dioxide, worsening symptoms and causing acidosis. Alveolar elasticity loss is COPD-related, and decreased responsiveness or suppressed inflammation are treatment goals.
Question 2 of 5
A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse, 'I'm not sure I want to have a mastectomy.' Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Providing additional information respects the client's autonomy and helps informed decision-making. Suggesting a second opinion, promising cancer-free status, or sharing others' experiences is inappropriate.
Question 3 of 5
A nurse on a medical unit is planning care for a group of clients. Which of the following clients should the nurse attend to first?
Correct Answer: D
Rationale: Thrombocytopenia with a nosebleed poses an immediate hemorrhage risk, requiring priority attention. Other conditions are less urgent as they are chronic or stable.
Question 4 of 5
A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?
Correct Answer: D
Rationale: Thrombocytopenia contraindicates heparin due to increased bleeding risk. COPD, rheumatoid arthritis, and thalassemia are not contraindications.
Question 5 of 5
A nurse is reviewing the medical record of a client who is 1 day postoperative following an appendectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A hemoglobin of 10 mg/dL suggests blood loss, requiring immediate reporting. Normal WBC, mild pain, and serosanguineous exudate are expected post-appendectomy.