ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who has dementia. Which of the following questions should the nurse ask to assess the client's abstract thinking?
Correct Answer: A
Rationale: Interpreting a saying assesses abstract thinking. Recalling birth state tests memory, counting backward tests concentration, and understanding condition tests insight.
Question 2 of 5
A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory results should the nurse monitor to determine long-term glycemic control?
Correct Answer: B
Rationale: Glycosylated hemoglobin (HbA1c) reflects average blood glucose over 2-3 months, ideal for long-term control. Fasting, oral glucose tolerance, and postprandial tests assess short-term control.
Question 3 of 5
A nurse is caring for a client who has pancreatitis and has been receiving total parenteral nutrition. Which of the following laboratory tests should the nurse monitor for overall nutritional status?
Correct Answer: C
Rationale: Prealbumin reflects recent nutritional status due to its short half-life, ideal for monitoring TPN effectiveness. Lipase, C-reactive protein, and creatinine assess other conditions.
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: B
Rationale: Holding breaths for 3 to 5 seconds after inhaling with an incentive spirometer promotes lung expansion. Exhaling through pursed lips, placing hands on the abdomen, or positioning the mouthpiece 0.5 cm from the mouth are not correct instructions.
Question 5 of 5
A nurse is providing discharge teaching for a client who has asthma and a new prescription for a metered-dose inhaler. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: Shaking the inhaler mixes the medication properly, ensuring effective delivery. Cleaning weekly, inhaling quickly, or waiting 15 seconds (should be 1 minute) are incorrect.