ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is completing an assessment of an older adult client and notes reddened areas over the bony prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Supporting bony prominences with pillows relieves pressure, preventing pressure injuries. Occlusive dressings, infrequent repositioning, and massaging reddened areas can worsen the condition.
Question 2 of 5
A nurse is caring for a client who is postoperative following a urinary diversion procedure to treat bladder cancer. Which of the following findings should indicate to the nurse that the client's stoma is functioning appropriately?
Correct Answer: A
Rationale: A red and moist stoma indicates healthy tissue and proper function. Soft and flat, pale and dry, or protruding 2 cm suggest complications like ischemia or obstruction.
Question 3 of 5
A nurse is caring for a client who has bladder cancer and a WBC count of 900/mm. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A low WBC count increases infection risk, so avoiding raw fruit reduces exposure to pathogens. Prolonged pressure, negative pressure rooms, and contact isolation are not necessary.
Question 4 of 5
A nurse is planning care for a client who has full-thickness burns on the lower extremities. Which of the following interventions should the nurse include?
Correct Answer: D
Rationale: Applying new gloves between wound care sites prevents cross-contamination and infection, critical in burn care. Weekly equipment cleaning, fresh produce diets, and limiting child visits are not specific interventions.
Question 5 of 5
A nurse is planning care for a client who has left-sided hemiplegia following a stroke. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Providing a short-handled reacher aids in grasping objects without straining the unaffected arm. A plate guard is helpful but not the primary action, using a cane on the affected side is unsafe, and placing the table on the left side is impractical.