ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The current infusion is almost complete and the new solution is not available. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Infusing dextrose 10% in water prevents hypoglycemia when TPN is unavailable. Disconnecting, using lactated Ringer's, or decreasing the rate do not maintain glucose levels.
Question 2 of 5
A nurse is assessing a client who has a new prescription for clopidogrel following a cardiac catheterization. Which of the following findings should the nurse report to the provider as an indication of an allergic reaction to the medication?
Correct Answer: C
Rationale: Pruritus (itching) is a sign of an allergic reaction to clopidogrel. Pinpoint pupils, tarry stools (indicating bleeding), and hypotension are not typical allergic responses.
Question 3 of 5
A nurse is caring for a client who has cancer. The client tells the nurse, 'I would prefer to try vitamins and minerals instead of chemotherapy.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Asking the client about their knowledge of chemotherapy encourages discussion, identifies misconceptions, and respects their autonomy. Directing to the provider is less engaging, dismissing holistic treatments is disrespectful, and advocating only chemotherapy ignores client preferences.
Question 4 of 5
A nurse is providing discharge teaching about blood glucose monitoring for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should instruct the client to obtain which of the following supplies?
Correct Answer: A
Rationale: Sterile lancets are essential for pricking the skin to obtain blood samples for glucose monitoring. Compression stockings, toenail clippers, and hand mirrors are not required for this purpose.
Question 5 of 5
A nurse is providing discharge teaching for a client who has asthma and a new prescription for a metered-dose inhaler. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: Shaking the inhaler mixes the medication properly, ensuring effective delivery. Cleaning weekly, inhaling quickly, or waiting 15 seconds (should be 1 minute) are incorrect.