ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 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 2 of 5
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when the client identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Palpitations, sweating, and nervousness are manifestations of hypoglycemia due to sympathetic activation. Polyuria and polydipsia are associated with hyperglycemia.
Question 3 of 5
A nurse is caring for a client who is postoperative following an endoscopy with moderate (conscious) sedation. Which of the following assessment findings is the nurse's priority?
Correct Answer: B
Rationale: Assessing the gag reflex is the priority post-endoscopy with sedation to ensure safe swallowing before eating or drinking. Pain, extremity warmth, and temperature are secondary.
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 completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Wearing gloves and washing hands when changing a cat's litter box reduces infection risk, indicating understanding of AIDS-related precautions. Increasing produce, using alcohol for spills, or dry cleaning clothes are not specific or necessary.