Questions 96

ATI RN

ATI RN Test Bank

ATI Adult Medical Surgical 2019 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is postoperative following an endoscopy with moderate (conscious) sedation. Which of the following assessment findings is the nurse's priority?

Correct Answer: B

Rationale: Assessing the gag reflex is the priority post-endoscopy with sedation to ensure safe swallowing before eating or drinking. Pain, extremity warmth, and temperature are secondary.

Question 2 of 5

A nurse on an oncology unit is caring for a client who is receiving internal radiation therapy. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Wearing a lead apron protects the nurse from radiation exposure during internal radiation therapy. Allowing hand-holding, placing a dosimeter on the door, or leaving the door open are unsafe.

Question 3 of 5

A nurse is caring for a female client who has toxic shock syndrome. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale:
Toxic shock syndrome (TSS) is a life-threatening condition caused by bacterial toxins. A generalized rash resembling a sunburn is a hallmark symptom of TSS, often accompanied by high fever, hypotension, and other systemic symptoms. Elevated platelet count, decreased total bilirubin, and hypertension are not typical findings in TSS.

Question 4 of 5

A nurse is teaching a client who has endometriosis about the adverse effects of leuprolide. Which of the following manifestations should the nurse include in the teaching?

Correct Answer: C

Rationale: Leuprolide can cause bone loss, increasing the risk of osteoporosis. Pallor, increased appetite, and hypoglycemia are not common side effects.

Question 5 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.

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