ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is planning a staff education session about hepatitis. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Hepatitis A vaccine is recommended for travelers to high-risk areas. It is transmitted via contaminated food/water, not blood; antibiotics are ineffective; incubation is 2-6 weeks.
Question 2 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 3 of 5
A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion?
Correct Answer: A
Rationale: Cool, clammy skin is a classic sign of hypoglycemia due to sympathetic nervous system activation. Acetone breath, Kussmaul respirations, and increased urine output are associated with hyperglycemia.
Question 4 of 5
A nurse is caring for a client who has chronic renal failure. The client displays the following ABG results: pH 7.24, PaCO2 44 mm Hg, PaO2 84 mm Hg, HCO3 18 mEq/L, base excess -2, and O2 saturation 95%. The nurse should conclude that the client has which of the following acid-base imbalances?
Correct Answer: D
Rationale: Low pH (7.24) and low HCO3 (18 mEq/L) with normal PaCO2 indicate metabolic acidosis, common in renal failure due to impaired acid excretion.
Question 5 of 5
A nurse is caring for a client in the emergency department who experienced a full-thickness burn injury to the lower torso 1 hr ago. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Full-thickness burns cause fluid loss and hypovolemia, leading to hypotension. Urinary diuresis, decreased respiratory rate, and bradycardia are not typical findings.