ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching for a client who has asthma and a new prescription for a metered-dose inhaler. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: Shaking the inhaler mixes the medication properly, ensuring effective delivery. Cleaning weekly, inhaling quickly, or waiting 15 seconds (should be 1 minute) are incorrect.
Question 2 of 5
A nurse is caring for a client who is postoperative following an endoscopy with moderate (conscious) sedation. Which of the following assessment findings is the nurse's priority?
Correct Answer: B
Rationale: Assessing the gag reflex is the priority post-endoscopy with sedation to ensure safe swallowing before eating or drinking. Pain, extremity warmth, and temperature are secondary.
Question 3 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: A
Rationale: Washing the perineal area twice daily with antimicrobial soap helps prevent infections in immunocompromised clients. Washing a toothbrush in a dishwasher, changing a pet's litter box, or changing drinking water every 4 hours are not effective or necessary.
Question 4 of 5
A nurse is planning care for a client who has status epilepticus. Which of the following interventions is the nurse's priority to include?
Correct Answer: B
Rationale: Administering diazepam IV is the priority to stop seizure activity in status epilepticus. Phenytoin, oxygen, and lateral positioning are important but secondary.
Question 5 of 5
A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory results should the nurse monitor to determine long-term glycemic control?
Correct Answer: B
Rationale: Glycosylated hemoglobin (HbA1c) reflects average blood glucose over 2-3 months, ideal for long-term control. Fasting, oral glucose tolerance, and postprandial tests assess short-term control.