ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing a hypertensive crisis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Performing neurological assessments monitors for end-organ damage in a hypertensive crisis. Dopamine, lactated Ringer's, and supine positioning are not appropriate.
Question 2 of 5
A nurse is planning a staff education session about hepatitis. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Hepatitis A vaccine is recommended for travelers to high-risk areas. It is transmitted via contaminated food/water, not blood; antibiotics are ineffective; incubation is 2-6 weeks.
Question 3 of 5
A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion?
Correct Answer: A
Rationale: Cool, clammy skin is a classic sign of hypoglycemia due to sympathetic nervous system activation. Acetone breath, Kussmaul respirations, and increased urine output are associated with hyperglycemia.
Question 4 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 5 of 5
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when the client identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Palpitations, sweating, and nervousness are manifestations of hypoglycemia due to sympathetic activation. Polyuria and polydipsia are associated with hyperglycemia.