ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who is suspected of having septicemia. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Obtaining a blood culture and sensitivity test is the priority to identify the causative organism and guide treatment. WBC count, history, and antibiotics are secondary.
Question 2 of 5
A nurse is assessing a client who has heart failure. Which of the following client statements should indicate to the nurse that the client needs a referral for cardiac rehabilitation?
Correct Answer: C
Rationale: Extreme fatigue, such as being too tired to brush teeth, indicates significant functional limitation in heart failure, warranting cardiac rehabilitation. Daily weighing and low-sodium diets are standard management, and vague complaints are less specific.
Question 3 of 5
A nurse is preparing to administer naloxone 10 mcg/kg via IV bolus to a client who weighs 220 lb. The amount available is 0.4 mg/mL. How many mL should the nurse administer? (round off to the nearest tenth)
Correct Answer: 2.5 mL.
Rationale: Converting 220 lb to 100 kg, the dose is 10 mcg/kg × 100 kg = 1000 mcg = 1 mg. With 0.4 mg/mL, 1 mg ÷ 0.4 = 2.5 mL, which is already rounded to the nearest tenth.
Question 4 of 5
A nurse is assessing a client who is receiving furosemide to treat pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?
Correct Answer: C
Rationale: Weight loss of 0.8 kg in 24 hours indicates effective fluid removal by furosemide, reducing pulmonary edema. Adventitious sounds, elevated blood pressure, and a respiratory rate of 24/min do not confirm effectiveness.
Question 5 of 5
A nurse is reviewing the medication list of a client who is being admitted with diabetes insipidus. Which of the following medications places the client at an increased risk for developing diabetes insipidus?
Correct Answer: D
Rationale: Lithium can cause diabetes insipidus by impairing kidney response to antidiuretic hormone. Propranolol, atorvastatin, and ranitidine do not have this effect.