ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Petechiae indicate thrombocytopenia, requiring bleeding precautions like using soft toothbrushes. Airborne precautions, blood typing, and avoiding IV pain meds are not relevant.
Question 2 of 5
A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye. Which of the following actions should the nurse plan to take first?
Correct Answer: D
Rationale: Collecting information about the irritant guides appropriate irrigation. pH testing, anesthetic drops, and saline irrigation follow this step.
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 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 5 of 5
A nurse is preparing to administer furosemide to a client who has acute heart failure. Which of the following laboratory results should the nurse identify as a contraindication for receiving the medication?
Correct Answer: C
Rationale: Hypokalemia (potassium 3.2 mEq/L) is a contraindication for furosemide, which can further lower potassium. Normal sodium, creatinine, and BUN are not contraindications.