ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is providing dietary teaching to a client who has heart failure and a new prescription for a 2-g sodium diet. Which of the following client statements should the nurse identify as an understanding of the teaching?
Correct Answer: B
Rationale: Lemon juice is a low-sodium flavoring suitable for a 2-g sodium diet. Canned vegetables, salt, and baking soda are high in sodium and should be avoided.
Question 2 of 5
A nurse is providing discharge teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: Washing the perineal area twice daily with antimicrobial soap reduces infection risk in immunocompromised clients. Other actions are less critical or increase infection risk.
Question 3 of 5
A nurse is preparing to assist with the insertion of a non-tunneled central venous catheter for a client who is malnourished. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Confirming catheter position with a blood sample ensures proper placement. Valsalva maneuver, elevated bed, and chlorhexidine cleansing are appropriate, not coughing, lowering bed, or hydrogen peroxide.
Question 4 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 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.