ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has left-sided hemiplegia following a stroke. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Providing a short-handled reacher aids in grasping objects without straining the unaffected arm. A plate guard is helpful but not the primary action, using a cane on the affected side is unsafe, and placing the table on the left side is impractical.
Question 2 of 5
A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Inserting a large-bore nasogastric tube allows for gastric lavage and diagnosis of bleeding sources in upper GI bleeding. A 22-gauge IV is too small, ketorolac increases bleeding risk, and nitroprusside is not indicated.
Question 3 of 5
A nurse is caring for a client who has a traumatic brain injury. The client, who has been quiet and cooperative, becomes agitated and restless. Which of the following assessments should the nurse perform first?
Correct Answer: D
Rationale: Agitation and restlessness in traumatic brain injury may indicate increased intracranial pressure, often accompanied by elevated blood pressure, making it the first assessment.
Question 4 of 5
A nurse is assessing a client who has right-sided heart failure. Which of the following assessment findings should the nurse expect to find?
Correct Answer: B
Rationale: Pitting edema is a hallmark of right-sided heart failure due to fluid retention in the extremities. Poor skin turgor, oliguria, and S4 sounds are not typical findings.
Question 5 of 5
A nurse is assessing a client who has a new prescription for levothyroxine. Which of the following findings should the nurse identify as an indication that the client requires a lower dose of the medication?
Correct Answer: B
Rationale: Tremors indicate possible overmedication with levothyroxine, suggesting a need for a lower dose. Weight gain, bradycardia, and hypotension are signs of under-treatment or other issues.