ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is planning care for an older adult client who has Ménière's disease. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Changing positions slowly prevents dizziness and falls in Ménière's disease. Neck exercises, aspirin, and fluid restriction are not standard interventions.
Question 2 of 5
A nurse in a provider's office is teaching a client about the self-management of GERD. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Elevating the head of the bed 6-8 inches during sleep reduces GERD symptoms by preventing acid reflux. Increasing calories, lying down after meals, or eating close to bedtime worsen symptoms.
Question 3 of 5
A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the nurse to report?
Correct Answer: C
Rationale: A platelet count of 70,000/mm indicates thrombocytopenia, increasing bleeding risk, and is the priority to report. Ascites, clay-colored stools, and elevated alkaline phosphatase are concerning but less urgent.
Question 4 of 5
A nurse is planning care for a client who has full-thickness burns on the lower extremities. Which of the following interventions should the nurse include?
Correct Answer: D
Rationale: Applying new gloves between wound care sites prevents cross-contamination and infection, critical in burn care. Weekly equipment cleaning, fresh produce diets, and limiting child visits are not specific interventions.
Question 5 of 5
A nurse is planning to teach a client whose provider has prescribed a low-purine diet. The nurse should plan to instruct the client that he can include which of the following foods in his diet? (Select all that apply.)
Correct Answer: B,D
Rationale: Apricots and nuts are low-purine foods suitable for a low-purine diet. Sardines, scallops, and liver are high-purine and should be avoided.