ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has acute pancreatitis. Which of the following interventions should the nurse include in the client's plan? (Select all that apply.)
Correct Answer: B,E
Rationale: Monitoring blood glucose levels is essential due to potential pancreatic involvement affecting glucose regulation. Managing acute pain is critical for patient comfort and reducing pancreatic stress. Insulin drips are not universally required, regular diets are contraindicated, and prolonged NPO may not be standard per current guidelines.
Question 2 of 5
A nurse is caring for a client who has active tuberculosis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Ensuring the door to the client's room is closed at all times is a critical measure in preventing the spread of TB. This action helps to contain the airborne bacteria within the room, reducing the risk of transmission to others in the healthcare facility. This is part of airborne precautions, which are essential for managing patients with active TB.
Question 3 of 5
A nurse is caring for a client who has a peripherally inserted central catheter (PICC). For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: An increase in the circumference of the client's upper arm by 10% can indicate swelling, which may be a sign of complications such as infection, thrombosis, or infiltration. This finding should be promptly reported to the provider for further evaluation and intervention.
Question 4 of 5
A nurse is caring for a client who has been experiencing repeated tonic-clonic seizures over the course of 30 minutes. After maintaining the client's airway and turning the client on their side, which of the following medications should the nurse administer?
Correct Answer: A
Rationale: Diazepam IV acts quickly to stop seizures, making it ideal for managing status epilepticus with rapid onset.
Question 5 of 5
A nurse is caring for a client who is to undergo a liver biopsy. Which of the following instructions should the nurse provide to the client following the procedure?
Correct Answer: B
Rationale: Lying on the right side post-liver biopsy compresses the biopsy site, reducing bleeding risk and promoting clot formation.