ATI RN
ATI RN VATI Adult Medical Surgical S 2019 Questions
Extract:
Question 1 of 5
A nurse is completing discharge teaching with a client who has a new prescription for enoxaparin to treat unstable angina. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Full needle insertion ensures proper subcutaneous delivery of enoxaparin.
Question 2 of 5
A nurse is assessing a group of clients. For which of the following clients should the nurse make a referral to palliative care?
Correct Answer: D
Rationale: Advanced Parkinson's with ineffective medications warrants palliative care for symptom management.
Question 3 of 5
A nurse is caring for a client who is 24 hr postoperative. Which of the following interventions should the nurse take to reduce the risk of atelectasis?
Correct Answer: D
Rationale: Incentive spirometry with breath-holding expands lungs, preventing atelectasis post-surgery.
Question 4 of 5
A nurse is completing an admission assessment of a client. Which of the following findings should the nurse identify as a stage 2 pressure injury?
Correct Answer: B
Rationale: Stage 2 pressure injuries present as partial-thickness skin loss, appearing as a shallow crater.
Question 5 of 5
A nurse in a PACU is caring for a client who is postoperative. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A pulse deficit indicates potential cardiovascular compromise, requiring immediate reporting.