ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who was admitted with nausea, vomiting, and a possible bowel obstruction. An NG tube is placed and set to low intermittent suction. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Abdominal distension and firmness indicate worsening obstruction or complications like ischemia, requiring immediate reporting.
Question 3 of 5
A nurse is caring for a client who has a severe burn injury. The nurse should recognize which of the following client findings as an indication of hypovolemic shock?
Correct Answer: B
Rationale: Hyperkalemia (5.2 mEq/L) from cell destruction in burns indicates hypovolemic shock, risking cardiac complications. Normal urine output, capillary refill, and PaCO2 are not specific to shock.
Question 4 of 5
A nurse is teaching a group of clients who have cancer about radiation therapy. Which of the following activities should the nurse include in the teaching?
Correct Answer: B
Rationale: Limiting sports that cause bruising reduces bleeding risk due to radiation-induced thrombocytopenia. Sun exposure should be minimized, diet should include fruits/vegetables, and socializing is safe unless neutropenic.
Question 5 of 5
A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Identifying the chemical irritant guides irrigation duration and treatment, making it the first step in ocular irrigation.