ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to discharge a client who has a halo device and is reviewing new prescriptions from the provider. The nurse should clarify which of the following prescriptions with the provider?
Correct Answer: A
Rationale: Driving with a halo device is unsafe due to restricted neck movement; this prescription requires clarification. Other instructions are appropriate for halo device care.
Question 2 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 3 of 5
A nurse is caring for a client who arrives at the emergency department and reports vomiting and diarrhea for the past 3 days. The client's serum potassium level is 2.8 mEq/L. Which of the following interventions should the nurse implement first?
Correct Answer: D
Rationale: Hypokalemia (2.8 mEq/L) risks cardiac arrhythmias; initiating cardiac monitoring is the priority to detect life-threatening changes. Other interventions follow based on assessment findings.
Question 4 of 5
A nurse is caring for a client who has a severe burn injury. The nurse should recognize which of the following client findings as an indication of hypovolemic shock?
Correct Answer: B
Rationale: Hyperkalemia (5.2 mEq/L) from cell destruction in burns indicates hypovolemic shock, risking cardiac complications. Normal urine output, capillary refill, and PaCO2 are not specific to shock.
Question 5 of 5
A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: Loose stools are expected with an ileostomy due to bypassing the colon. Emptying the bag frequently, avoiding laxatives, and limiting high-fiber foods prevent complications.