ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is scheduled for an abdominal paracentesis. The nurse should plan to take which of the following actions?
Correct Answer: D
Rationale: Emptying the bladder prevents injury during paracentesis. Left lateral position, stool softeners, and deep breath-holding are not appropriate.
Question 2 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 3 of 5
A nurse is caring for a client who is 6 hours postoperative following the application of an external fixator for a tibial fracture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Palpating the dorsalis pedis pulse assesses for neurovascular complications, a priority post-fixator application. Wrapping pins, adjusting clamps, or keeping the limb dependent are not standard or safe actions.
Question 4 of 5
A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances?
Correct Answer: A
Rationale: Banana allergy is associated with latex-fruit syndrome, increasing latex allergy risk. Anesthetics, povidone-iodine, and adhesive tape do not have this cross-reactivity.
Question 5 of 5
A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?
Correct Answer: A
Rationale: Administering IV fluids maintains renal perfusion, preventing acute kidney failure. Catheter insertion, pyelogram, and beta-blockers do not address this risk directly.