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 scheduled for a mastectomy. The client tells the nurse, 'I'm not sure I want to have a mastectomy.' Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Providing additional information respects the client's autonomy and helps informed decision-making. Suggesting a second opinion, promising cancer-free status, or sharing others' experiences is inappropriate.
Question 2 of 5
A nurse in the emergency department admitted a client who is having a myocardial infarction. The client has been placed on the heart monitor. Which of the following electrocardiogram strips is indicative of a myocardial infarction?
Correct Answer: C
Rationale: ST segment elevation on the ECG indicates myocardial infarction due to acute ischemia. Other strips may show different arrhythmias or normal rhythms.
Question 3 of 5
A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect as an indication the wound is healing?
Correct Answer: D
Rationale: Dark red granulation tissue indicates healing, as it shows new tissue and blood vessel formation. Firm tissue, eschar, and yellow exudate suggest complications or infection.
Question 4 of 5
A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications to give at 0800 should the nurse withhold?
Correct Answer: C
Rationale: Metformin is withheld before IV contrast dye procedures to prevent lactic acidosis, a rare but serious complication. Other medications are safe to administer.
Question 5 of 5
A home health nurse is assessing the home environment of a client who has cystic fibrosis. Which of the following equipment should the nurse plan to recommend?
Correct Answer: B
Rationale: A chest physiotherapy vest loosens mucus in cystic fibrosis, improving lung function. Peak flow meters are for asthma, NG tubes for gastric issues, and chest tubes for pleural conditions.