ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a female client who has toxic shock syndrome. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale:
Toxic shock syndrome (TSS) is a life-threatening condition caused by bacterial toxins. A generalized rash resembling a sunburn is a hallmark symptom of TSS, often accompanied by high fever, hypotension, and other systemic symptoms. Elevated platelet count, decreased total bilirubin, and hypertension are not typical findings in TSS.
Question 2 of 5
A nurse is assessing a client who has right-sided heart failure. Which of the following assessment findings should the nurse expect to find?
Correct Answer: B
Rationale: Pitting edema is a hallmark of right-sided heart failure due to fluid retention in the extremities. Poor skin turgor, oliguria, and S4 sounds are not typical findings.
Question 3 of 5
A nurse is teaching a client who has AIDS and wishes to continue self-care at home despite living alone. Which of the following actions by the nurse demonstrates client advocacy?
Correct Answer: D
Rationale: Initiating a home health agency referral supports the client's self-care while providing necessary resources, demonstrating advocacy. Avoiding crowds, raw vegetables, or emphasizing medication adherence are precautions, not advocacy.
Question 4 of 5
A nurse on an oncology unit is caring for a client who is receiving internal radiation therapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Wearing a lead apron protects the nurse from radiation exposure during internal radiation therapy. Allowing hand-holding, placing a dosimeter on the door, or leaving the door open are unsafe.
Question 5 of 5
A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Petechiae indicate thrombocytopenia, requiring bleeding precautions like using soft toothbrushes. Airborne precautions, blood typing, and avoiding IV pain meds are not relevant.