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 receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy?
Correct Answer: D
Rationale: Lymphedema contraindicates acupuncture due to infection and swelling risks in oedematous limbs. Other conditions are not contraindications.
Question 2 of 5
A nurse is performing a cranial nerve assessment on a client following a head injury. Which of the following findings should the nurse expect if the client has impaired function of the vestibulocochlear nerve (cranial nerve VIII)?
Correct Answer: C
Rationale: The vestibulocochlear nerve (VIII) controls balance and hearing; impaired function causes disequilibrium.
Tongue deviation, vision loss, and inability to smell relate to other cranial nerves.
Question 3 of 5
A nurse is caring for a client who understands a prescribed surgical procedure, but cannot read or write. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: If the client understands the procedure, they can sign with an X, respecting their autonomy. Involving others or notifying the team is unnecessary unless competence is in question.
Question 4 of 5
A nurse is preparing to assist with the insertion of a non-tunneled central venous catheter for a client who is malnourished. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Confirming catheter position with a blood sample ensures proper placement. Valsalva maneuver, elevated bed, and chlorhexidine cleansing are appropriate, not coughing, lowering bed, or hydrogen peroxide.
Question 5 of 5
A nurse is reviewing a client's cardiac monitor for dysrhythmias. Which of the following findings should the nurse identify as an indication for the placement of a permanent pacemaker?
Correct Answer: B
Rationale: Complete AV block with rates below 40/min risks severe bradycardia and symptoms, necessitating a pacemaker. Other conditions are less severe or not indications.