ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has toxoplasmosis and is HIV positive. Which of the following questions should the nurse ask to gather data about toxoplasmosis?
Correct Answer: B
Rationale:
Toxoplasmosis is transmitted via cat feces; asking about household cats assesses exposure risk, especially critical for immunocompromised clients like those with HIV.
Question 2 of 5
A nurse is providing discharge teaching to a client who has heart failure and instructs him to limit sodium intake to 2 g per day. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: A frozen fruit juice bar is low-sodium, aligning with a 2 g sodium diet. Vegetable juice, garlic/onion salts, and mayonnaise are high in sodium and should be avoided.
Question 3 of 5
A nurse is assessing a client who has increased intracranial pressure (ICP). The nurse should recognize that which of the following is the first sign of deteriorating neurological status?
Correct Answer: C
Rationale: Altered level of consciousness is the earliest and most sensitive sign of increased ICP, detectable via the Glasgow Coma Scale. Pupillary dilation, decorticate posturing, and Cheyne-Stokes respirations are later signs indicating severe brainstem involvement.
Question 4 of 5
A nurse is caring for a client following a total knee arthroplasty. The client reports a pain level of 6 on a pain scale of 0 to 10. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: Applying an ice pack reduces inflammation and pain post-arthroplasty. Pillows under the knee risk contractures, massaging may increase pain or infection, and exercises should wait until pain is controlled.
Question 5 of 5
A nurse is caring for a client following a bronchoscopy. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Checking the gag reflex first prevents aspiration, as the throat may be numb post-bronchoscopy. Other actions follow once safety is ensured.