ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to administer peritoneal dialysis to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Hanging the drainage bag below the abdomen facilitates gravity drainage. Sterile technique, semi-Fowler's position, and room-temperature dialysate are appropriate.
Question 2 of 5
A nurse is caring for a client who understands a prescribed surgical procedure, but cannot read or write. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: If the client understands the procedure, they can sign with an X, respecting their autonomy. Involving others or notifying the team is unnecessary unless competence is in question.
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 increase latex allergy risk due to latex-fruit syndrome. Anesthetics, adhesive tape, and povidone-iodine are not typically cross-reactive.
Question 4 of 5
A nurse is reviewing the medical record of a client who has pneumonia. Which of the following serum laboratory values should the nurse expect?
Correct Answer: A
Rationale: A high WBC count (15,000/mm3) is expected in pneumonia due to the inflammatory response to infection. Sodium, BUN, and hematocrit are not directly affected by pneumonia.
Question 5 of 5
A nurse is preparing to discontinue long-term total parenteral nutrition (TPN) therapy for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects?
Correct Answer: B
Rationale: Gradual TPN discontinuation prevents hypoglycemia due to sudden cessation of high glucose infusion. Hyperglycemia occurs during TPN, and diarrhea or hypertension are unrelated.