ATI RN
ATI Adult Medical Surgical 2019 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: A
Rationale: Lymphedema is a contraindication for acupuncture due to infection risk in the affected area. Mouth sores, headaches, and urticaria are not contraindications.
Question 2 of 5
A nurse in the emergency department is caring for a client who was involved in an explosion. Which of the following actions should the nurse plan to take first?
Correct Answer: C
Rationale: Notifying the Rapid Response Team is the priority due to the client's unstable vital signs (high BP, HR, RR, low O2 saturation), indicating potential critical condition. ECG, burn assessment, and IV access are secondary.
Question 3 of 5
A nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that the client is discharged with which of the following types of pharmacologic therapy?
Correct Answer: A
Rationale: Antithrombotic therapy prevents blood clots and reduces the risk of recurrent ischemic stroke. Diuretics, anticonvulsants, and opioid analgesics are not typically used for stroke prevention.
Question 4 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 5 of 5
A nurse is caring for a client who has advanced liver disease. Which of the following laboratory results should the nurse monitor when assessing this client?
Correct Answer: B
Rationale: Serum ammonia levels are elevated in advanced liver disease due to impaired detoxification, contributing to hepatic encephalopathy. Glucose, troponin, and phosphate are not primary indicators.