ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should anticipate administering which of the following prescribed medications?
Correct Answer: B
Rationale: Bounding pulses, hypertension, and distended jugular veins suggest fluid overload from transfusion, warranting furosemide to reduce fluid volume. Diphenhydramine, acetaminophen, and pantoprazole address other issues.
Question 2 of 5
A community health nurse is reviewing home care instructions with an older adult client who has a new diagnosis of heart failure. Which of the following is the priority topic for the nurse to review with the client?
Correct Answer: D
Rationale: Monitoring weight changes is the priority in heart failure to detect fluid retention early, as sudden weight gain indicates worsening condition. Exercise, sodium, and fluid intake are important but secondary.
Question 3 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.
Question 4 of 5
A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Holding breaths for 3 to 5 seconds after inhaling with an incentive spirometer promotes lung expansion. Exhaling through pursed lips, placing hands on the abdomen, or positioning the mouthpiece 0.5 cm from the mouth are not correct instructions.
Question 5 of 5
A nurse is administering potassium chloride via IV infusion to a client who has severe hypokalemia. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Monitoring urine output ensures kidney function and potassium excretion. Checking the site every 4 hours is too infrequent, 30 mEq/hr is too high, and Chvostek's sign assesses hypocalcemia.