ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is completing discharge teaching with a client who has a peripherally inserted central catheter (PICC) line in the left arm. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Using a 10-mL syringe prevents PICC line occlusion. Elevation is allowed, dressings are changed weekly or as needed, and chlorhexidine, not hydrogen peroxide, is used for cleaning.
Question 2 of 5
A nurse on an oncology unit is caring for a client who is receiving internal radiation therapy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Wearing a lead apron protects the nurse from radiation exposure during internal radiation therapy. Other actions increase exposure or violate safety protocols.
Question 3 of 5
A nurse is caring for a group of clients. The nurse should obtain a blood pressure reading using only the left extremity from which of the following clients?
Correct Answer: B
Rationale: Blood pressure measurement on an arm with an arteriovenous fistula risks damage; the left arm is used instead. PICC lines, weakness, or Bell's palsy do not contraindicate BP measurement.
Question 4 of 5
A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse, 'I'm not sure I want to have a mastectomy.' Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Providing additional information respects the client's autonomy and helps informed decision-making. Suggesting a second opinion, promising cancer-free status, or sharing others' experiences is inappropriate.
Question 5 of 5
A nurse is administering packed RBCs to a client. The client reports chills, lower back pain, and nausea 10 min after the infusion begins. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Chills, back pain, and nausea suggest a hemolytic transfusion reaction; stopping the infusion prevents further exposure to incompatible blood.