ATI RN
ATI Adult Medical Surgical 2019 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: C
Rationale: Using a 10-mL syringe to flush a PICC line prevents catheter damage. Hydrogen peroxide is not used, dressings are changed every 3-7 days, and arm elevation is not restricted.
Question 2 of 5
A nurse in an emergency department is preparing a client for emergency surgery. The client's blood alcohol level is 180 mg/dL. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Inserting an NG tube prevents aspiration due to vomiting risk from high blood alcohol levels. Catheter insertion, consent, and stockings are secondary.
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 caring for a client who is scheduled for an abdominal paracentesis. The nurse should plan to take which of the following actions?
Correct Answer: D
Rationale: Emptying the bladder prevents injury during paracentesis. Left lateral position, stool softeners, and deep breath-holding are not appropriate.
Question 5 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.