ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should the nurse take to prevent hip dislocation?
Correct Answer: A
Rationale: Placing pillows between the legs maintains hip alignment, preventing dislocation. Leaning forward, removing the wedge, or elevating knees increase dislocation risk.
Question 3 of 5
A nurse is providing discharge teaching to a client following a modified left radical mastectomy with a breast expander. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Expecting less than 25 mL of secretions per day in drainage devices indicates proper understanding of post-mastectomy care with a breast expander. Heavy arm exercises, waiting 2 months for saline, or keeping the arm flexed are not recommended.
Question 4 of 5
A nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that the client is discharged with which of the following types of pharmacologic therapy?
Correct Answer: A
Rationale: Antithrombotic therapy prevents blood clots and reduces the risk of recurrent ischemic stroke. Diuretics, anticonvulsants, and opioid analgesics are not typically used for stroke prevention.
Question 5 of 5
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates the effectiveness of the teaching?
Correct Answer: B
Rationale: Expecting lesions to resolve in 6 weeks aligns with the healing timeline for genital herpes. Antibiotics are ineffective, natural skin condoms don't prevent transmission, and medication duration varies.