ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 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 2 of 5
A nurse is providing teaching to a client who has left-sided heart failure. Which of the following manifestations should the nurse include in the teaching?
Correct Answer: D
Rationale: A hacking cough, especially when lying down, indicates pulmonary congestion from left-sided heart failure. Neck-vein distention and ankle edema are right-sided heart failure signs; anorexia is nonspecific.
Question 3 of 5
A home health nurse is providing care to an older adult client during the winter. During an in-home visit, the nurse notes that the thermostat is set to 12.8° C (55° F). The client tells the nurse, 'I keep the heat set low because I can't afford to pay the bill.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Contacting Health and Human Services connects the client to resources for heating assistance, addressing hypothermia risk in older adults.
Question 4 of 5
A nurse is administering packed RBCs to a client. The client reports chills, lower back pain, and nausea 10 min after the infusion begins. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Chills, back pain, and nausea suggest a hemolytic transfusion reaction; stopping the infusion prevents further exposure to incompatible blood.
Question 5 of 5
A nurse is providing discharge teaching about foot care to a client who is newly diagnosed with type 1 diabetes mellitus. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Trimming toenails straight across prevents ingrown nails and infection. Daily inspections, avoiding lotion between toes, and not soaking feet reduce infection and injury risks.