ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 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 2 of 5
A nurse is performing skin cancer screening on a group of clients. Which of the following findings should the nurse identify as an indication of melanoma?
Correct Answer: D
Rationale: A flat lesion with irregular borders suggests melanoma, characterized by asymmetry, color variation, and changing appearance. Other lesions are more typical of other skin cancers.
Question 3 of 5
A nurse is caring for a client who is experiencing an acute asthma attack. Which of the following should the nurse identify as a contributing factor to the client's manifestations?
Correct Answer: A
Rationale: Narrowed airways in asthma trap carbon dioxide, worsening symptoms and causing acidosis. Alveolar elasticity loss is COPD-related, and decreased responsiveness or suppressed inflammation are treatment goals.
Question 4 of 5
A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Holding breath for 3-5 seconds during incentive spirometry maximizes lung expansion. The mouthpiece should be in the mouth, exhalation is normal, and hand placement is unrelated.
Question 5 of 5
A nurse is administering packed RBCs to a client. The client reports chills, lower back pain, and nausea 10 min after the infusion begins. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Chills, back pain, and nausea suggest a hemolytic transfusion reaction; stopping the infusion prevents further exposure to incompatible blood.