ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is providing discharge teaching for a client who has osteomyelitis in the left leg. Which of the following findings should the nurse identify as requiring a referral?
Correct Answer: B
Rationale: Long-term IV antibiotic therapy for osteomyelitis requires referral to prevent complications like peripheral thrombophlebitis. Elevated WBC is expected, furosemide is unrelated, and a HbA1c of 6% indicates good glycemic control.
Question 3 of 5
A nurse is caring for a client who has anemia. Which of the following assessment findings should the nurse anticipate with the client's condition?
Correct Answer: B
Rationale: Anemia reduces oxygen-carrying capacity, causing headaches due to tissue hypoxia. Tachycardia, pallor, and fatigue are more common than bradycardia, heat intolerance, or flushed skin.
Question 4 of 5
A nurse is checking a client's ventilator settings. The nurse should understand that positive end-expiratory pressure has which of the following purposes?
Correct Answer: D
Rationale: Positive end-expiratory pressure (PEEP) prevents alveolar collapse by maintaining airway pressure at expiration, improving oxygenation. It does not affect tidal volume, inspiratory pressure, or ventilation rate.
Question 5 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.