ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a unit of packed RBCS to a client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: A 20-gauge or larger needle is required to prevent hemolysis during RBC transfusion. Y tubing is unnecessary, transfusion should take 2-4 hours, and vital signs are monitored before, during, and after.
Question 2 of 5
A nurse is caring for a client who has developed a heart rate of 38/min and reports tremors and feeling faint. Which of the following medications should the nurse anticipate administering?
Correct Answer: C
Rationale: Atropine sulfate treats symptomatic bradycardia (38/min) by increasing heart rate, addressing tremors and faintness. Other medications are inappropriate for this condition.
Question 3 of 5
A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances?
Correct Answer: A
Rationale: Banana allergies are associated with latex-fruit syndrome, increasing latex allergy risk due to shared proteins. Other substances are unrelated to banana allergies.
Question 4 of 5
A nurse is providing discharge teaching for a client who has HIV. Which of the following information is the priority for the nurse to review with the client?
Correct Answer: D
Rationale: Adherence to antiretroviral therapy (ART) is critical for HIV management, making the medication schedule the priority to prevent complications and transmission.
Question 5 of 5
A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg fiberglass cast. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Intense pain with movement is an early sign of compartment syndrome due to increased pressure compromising tissue perfusion. Bounding pulses, erythema, and normal capillary refill are not typical early indicators.