ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications to give at 0800 should the nurse withhold?
Correct Answer: C
Rationale: Metformin is withheld before IV contrast dye procedures to prevent lactic acidosis, a rare but serious complication. Other medications are safe to administer.
Question 2 of 5
A nurse in a long-term care facility is caring for a bedridden client. Which of the following findings should alert the nurse to a potential complication of the client's immobility?
Correct Answer: A
Rationale: Confusion may indicate delirium, with immobility increasing the risk of delirium in older adults due to sensory deprivation, dehydration, or other factors. Other findings are less directly related to immobility.
Question 3 of 5
A nurse is caring for a client who is taking digoxin 0.125 mg PO daily and is at risk for developing digoxin toxicity. The nurse should monitor the client for an imbalance of which of the following electrolytes because it can increase the risk for digoxin toxicity?
Correct Answer: D
Rationale: Hypokalemia increases digoxin toxicity risk by enhancing digoxin binding to cardiac cells, affecting contractility and conduction. Other electrolytes are less directly related.
Question 4 of 5
A nurse is planning care for a client who has Clostridium difficile gastroenteritis. Which of the following is an appropriate nursing action?
Correct Answer: A
Rationale: Clostridium difficile is highly contagious and requires a protective environment to prevent spread. Chlorhexidine and alcohol-based hand rubs are not effective against its spores, and while gloves are used, a protective environment is the priority.
Question 5 of 5
A nurse is caring for a client who is 6 hr postoperative following application of an external fixator for a tibial fracture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Palpating the dorsalis pedis pulse ensures circulation post-fixator application. Dependent positioning, gauze wrapping, or clamp adjustment risk complications.