ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to assist the provider with a thoracentesis for a client who has a left pleural effusion. Which of the following interventions is the priority for the nurse?
Correct Answer: D
Rationale: Checking for local anesthetic allergies prevents severe reactions during thoracentesis, prioritizing client safety.
Question 2 of 5
A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?
Correct Answer: C
Rationale: Pancreatitis causing left shoulder pain is referred pain via the phrenic nerve. Other pains are localized to their source.
Question 3 of 5
A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). The client reports sharp lower abdominal pain. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Sharp abdominal pain may indicate catheter obstruction; checking urine output assesses for clots or blockages, the most urgent concern post-TURP.
Question 4 of 5
A nurse is teaching the family of a client who has Alzheimer's disease about caring for the client at home. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: A monthly calendar helps orient the client to time, reducing confusion in Alzheimer's disease. Covering outlets with tape poses a fire hazard, a dark bedroom increases fall risk, and while a large-face clock may help, a calendar is more effective for orientation.
Question 5 of 5
A nurse is reviewing the following ABG results for a postoperative client: pH 7.27, PaCO2 49 mm Hg, PaO2 65 mm Hg, HCO 22 mEq/L. The nurse should interpret the findings as which of the following imbalances?
Correct Answer: A
Rationale: Low pH (7.27) and high PaCO2 (49 mm Hg) with normal HCO3 indicate respiratory acidosis from hypoventilation retaining CO2.